PERINDOPRIL + INDAPAMIDE

PERINDOPRIL + INDAPAMIDE (13413Y)

perindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30
13413Y
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: 60 # of repeats: 5 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
PREXUM Combi LD 2.5/0.625
Coversyl Plus LD 2.5mg/0.625mg
*Additional charge for this brand is $15.72
 DPMQ: $34.94 Max safety net: $20.70 General Patient Charge: $39.21

PERINDOPRIL + INDAPAMIDE (2190G)

perindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30
2190G
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
PREXUM Combi LD 2.5/0.625
Coversyl Plus LD 2.5mg/0.625mg
*Additional charge for this brand is $7.86
 DPMQ: $24.36 Max safety net: $17.98 General Patient Charge: $28.63