METFORMIN

METFORMIN (13847T)

metformin hydrochloride 1 g modified release tablet, 60
13847T
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: 120 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Metformin XR 1000
Blooms Metformin XR
Diaformin Alphapharm XR
Diaformin XR 1000
METEX XR
METFORMIN-WGR XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 1000
*Additional charge for this brand is $10.68
 DPMQ: $33.08 Max safety net: $23.88 General Patient Charge: $35.68

METFORMIN (13899M)

metformin hydrochloride 500 mg modified release tablet, 120
13899M
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: 240 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Metformin XR 500
Blooms Metformin XR
Diaformin Alphapharm XR
METFORMIN-WGR XR
Metex XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 500
*Additional charge for this brand is $10.68
 DPMQ: $33.08 Max safety net: $23.88 General Patient Charge: $35.68

METFORMIN (13952H)

metformin hydrochloride 850 mg tablet, 60
13952H
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: 120 # of repeats: 5 DPMQ: $20.26 Max safety net: $21.74 General Patient Charge: $24.53
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 850 mg
Diaformin 850
Diaformin Viatris
FORMET 850
Glucobete 850
METFORMIN-WGR
Metformin Sandoz
Diabex 850
*Additional charge for this brand is $10.94
 DPMQ: $31.20 Max safety net: $21.74 General Patient Charge: $35.47

METFORMIN (13976N)

metformin hydrochloride 500 mg tablet, 100
13976N
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: 200 # of repeats: 5 DPMQ: $20.26 Max safety net: $21.74 General Patient Charge: $24.53
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 500 mg
Diaformin
Diaformin Viatris
FORMET 500
Glucobete 500
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex
*Additional charge for this brand is $10.94
 DPMQ: $31.20 Max safety net: $21.74 General Patient Charge: $35.47

METFORMIN (14056T)

metformin hydrochloride 1 g tablet, 90
14056T
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: 180 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 1000 mg
Diaformin 1000
Diaformin Viatris
Formet 1000
Glucobete 1000
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex 1000
*Additional charge for this brand is $9.78
 DPMQ: $32.18 Max safety net: $23.88 General Patient Charge: $34.78

METFORMIN (1801T)

metformin hydrochloride 850 mg tablet, 60
1801T
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $17.02 Max safety net: $18.50 General Patient Charge: $21.29
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 850 mg
Diaformin 850
Diaformin Viatris
FORMET 850
Glucobete 850
METFORMIN-WGR
Metformin Sandoz
Diabex 850
*Additional charge for this brand is $5.47
 DPMQ: $22.49 Max safety net: $18.50 General Patient Charge: $26.76

METFORMIN (2430X)

metformin hydrochloride 500 mg tablet, 100
2430X
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $17.02 Max safety net: $18.50 General Patient Charge: $21.29
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 500 mg
Diaformin
Diaformin Viatris
FORMET 500
Glucobete 500
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex
*Additional charge for this brand is $5.47
 DPMQ: $22.49 Max safety net: $18.50 General Patient Charge: $26.76

METFORMIN (3439B)

metformin hydrochloride 1 g modified release tablet, 60
3439B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Metformin XR 1000
Blooms Metformin XR
Diaformin Alphapharm XR
Diaformin XR 1000
METEX XR
METFORMIN-WGR XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 1000
*Additional charge for this brand is $5.34
 DPMQ: $23.43 Max safety net: $19.57 General Patient Charge: $27.70

METFORMIN (8607B)

metformin hydrochloride 1 g tablet, 90
8607B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 90 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 1000 mg
Diaformin 1000
Diaformin Viatris
Formet 1000
Glucobete 1000
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex 1000
*Additional charge for this brand is $4.89
 DPMQ: $22.98 Max safety net: $19.57 General Patient Charge: $27.25

METFORMIN (9435N)

metformin hydrochloride 500 mg modified release tablet, 120
9435N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Metformin XR 500
Blooms Metformin XR
Diaformin Alphapharm XR
METFORMIN-WGR XR
Metex XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 500
*Additional charge for this brand is $5.34
 DPMQ: $23.43 Max safety net: $19.57 General Patient Charge: $27.70