METFORMIN

METFORMIN (14056T)

metformin hydrochloride 1 g tablet, 90
14056T
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: 180 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 1000 mg
Diaformin 1000
Diaformin Viatris
Formet 1000
Glucobete 1000
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex 1000
*Additional charge for this brand is $9.78
 DPMQ: $32.18 Max safety net: $23.88 General Patient Charge: $34.78