PERINDOPRIL + INDAPAMIDE
perindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30
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: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $19.84 | Max safety net: $21.38 | General Patient Charge: $24.17 |
| Available brands | |||||
|
|
|||||
|
|
DPMQ: $34.86 | Max safety net: $21.38 | General Patient Charge: $39.19 | ||
perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30
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: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $21.84 | Max safety net: $23.38 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30
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: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $21.84 | Max safety net: $23.38 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
|
|
DPMQ: $35.52 | Max safety net: $23.38 | General Patient Charge: $38.68 | ||
perindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30
Manner of administration:Oral
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 | |||||
|
|
|||||
|
|
DPMQ: $24.61 | Max safety net: $18.64 | General Patient Charge: $28.94 | ||
perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30
Manner of administration:Oral
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: $18.10 | Max safety net: $19.64 | General Patient Charge: $22.43 |
| Available brands | |||||
|
|
|||||
|
|
DPMQ: $24.94 | Max safety net: $19.64 | General Patient Charge: $29.27 | ||
perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30
Manner of administration:Oral
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: $18.10 | Max safety net: $19.64 | General Patient Charge: $22.43 |
| Available brands | |||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||