INDAPAMIDE

indapamide hemihydrate 1.5 mg modified release tablet, 90
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: 180 # of repeats: 1 DPMQ: $24.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Indapamide SR
Odaplix SR
Natrilix SR
*Additional charge for this brand is $12.54
DPMQ: $37.24 Max safety net: $25.00 General Patient Charge: $37.54