CHLORTALIDONE
Body System:
Manner of administration:Oral
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: 4 | Max qty units: 200 | # of repeats: 1 | DPMQ: $29.56 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Hygroton 25 | |||||
Body System:
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 100 | # of repeats: 1 | DPMQ: $21.68 | Max safety net: $23.16 | General Patient Charge: $25.00 |
| Available brands | |||||
| Hygroton 25 | |||||