ENALAPRIL

ENALAPRIL (13401H)

enalapril maleate 20 mg tablet, 30
13401H
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: 60 # of repeats: 5 DPMQ: $21.64 Max safety net: $23.12 General Patient Charge: $25.00
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean
Renitec 20
*Additional charge for this brand is $20.80
 DPMQ: $42.44 Max safety net: $23.12 General Patient Charge: $45.80

ENALAPRIL (1369C)

enalapril maleate 20 mg tablet, 30
1369C
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: 30 # of repeats: 5 DPMQ: $17.71 Max safety net: $19.19 General Patient Charge: $21.98
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean
Renitec 20
*Additional charge for this brand is $10.40
 DPMQ: $28.11 Max safety net: $19.19 General Patient Charge: $32.38