IRBESARTAN + HYDROCHLOROTHIAZIDE

IRBESARTAN + HYDROCHLOROTHIAZIDE (2136K)

irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30
2136K
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: $18.00 Max safety net: $19.48 General Patient Charge: $22.27
Available brands
APO-Irbesartan HCTZ
AVSARTAN HCT 300/25
Abisart HCTZ 300/25
IRBESARTAN HCTZ-WGR 300/25
Irbesartan/HCT Sandoz
Avapro HCT 300/25
*Additional charge for this brand is $4.04
 DPMQ: $22.04 Max safety net: $19.48 General Patient Charge: $26.31
Karvezide 300/25
*Additional charge for this brand is $4.04
 DPMQ: $22.04 Max safety net: $19.48 General Patient Charge: $26.31