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: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
PREXUM Combi LD 2.5/0.625
Coversyl Plus LD 2.5mg/0.625mg
*Additional charge for this brand is $15.02
 DPMQ: $34.86 Max safety net: $21.38 General Patient Charge: $39.19

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: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
PREXUM Combi LD 2.5/0.625
Coversyl Plus LD 2.5mg/0.625mg
*Additional charge for this brand is $7.51
 DPMQ: $24.61 Max safety net: $18.64 General Patient Charge: $28.94