ENALAPRIL

ENALAPRIL (13369P)

enalapril maleate 5 mg tablet, 30
13369P
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: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean

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 (13465Q)

enalapril maleate 10 mg tablet, 30
13465Q
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: $21.04 Max safety net: $22.52 General Patient Charge: $25.00
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean
Renitec
*Additional charge for this brand is $20.82
 DPMQ: $41.86 Max safety net: $22.52 General Patient Charge: $45.82

ENALAPRIL (1368B)

enalapril maleate 10 mg tablet, 30
1368B
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: $17.41 Max safety net: $18.89 General Patient Charge: $21.68
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean
Renitec
*Additional charge for this brand is $10.41
 DPMQ: $27.82 Max safety net: $18.89 General Patient Charge: $32.09

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

ENALAPRIL (1370D)

enalapril maleate 5 mg tablet, 30
1370D
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-Enalapril
Acetec
ENALAPRIL-WGR
Enalapril Sandoz
Malean