PIOGLITAZONE

General Schedule
Restricted Benefit

Restriction

Indication: Diabetes mellitus type 2
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: $28.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actos
General Schedule
Restricted Benefit

Restriction

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $42.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actos