METOPROLOL TARTRATE

METOPROLOL TARTRATE (1324Q)

METOPROLOL TARTRATE Tablet 50 mg, 100
1324Q
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 50
Minax 50
Mistrom
Betaloc
*Additional charge for this brand is $12.64
 DPMQ: $29.74 Max safety net: $18.64 General Patient Charge: $34.07

METOPROLOL TARTRATE (1325R)

METOPROLOL TARTRATE Tablet 100 mg, 60
1325R
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $17.36 Max safety net: $18.90 General Patient Charge: $21.69
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 100
Minax 100
Mistrom
Betaloc
*Additional charge for this brand is $12.63
 DPMQ: $29.99 Max safety net: $18.90 General Patient Charge: $34.32

METOPROLOL TARTRATE (13541Q)

METOPROLOL TARTRATE Tablet 100 mg, 60
13541Q
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 5 DPMQ: $20.36 Max safety net: $21.90 General Patient Charge: $24.69
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 100
Minax 100
Mistrom
Betaloc
*Additional charge for this brand is $25.26
 DPMQ: $45.62 Max safety net: $21.90 General Patient Charge: $49.95

METOPROLOL TARTRATE (13598Q)

METOPROLOL TARTRATE Tablet 50 mg, 100
13598Q
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 50
Minax 50
Mistrom
Betaloc
*Additional charge for this brand is $25.28
 DPMQ: $45.12 Max safety net: $21.38 General Patient Charge: $49.45