TIOTROPIUM

TIOTROPIUM (14839B)

tiotropium 2.5 microgram/actuation inhalation solution, 2 x 60 actuations
14839B
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15754)

Indication: Severe asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $75.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spiriva Respimat

TIOTROPIUM (14842E)

tiotropium 2.5 microgram/actuation inhalation solution, 2 x 60 actuations
14842E
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Bronchospasm and dyspnoea associated with chronic obstructive pulmonary disease
Treatment phase: Long-term maintenance treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $75.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spiriva Respimat

TIOTROPIUM (14845H)

tiotropium 2.5 microgram/actuation inhalation solution, 2 x 60 actuations
14845H
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Severe asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $75.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spiriva Respimat