METFORMIN
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 |
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| Max qty packs: 2 | Max qty units: 120 | # of repeats: 5 | DPMQ: $22.84 | Max safety net: $24.38 | General Patient Charge: $25.00 |
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DPMQ: $33.08 | Max safety net: $24.38 | General Patient Charge: $35.24 | ||
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: 240 | # of repeats: 5 | DPMQ: $22.84 | Max safety net: $24.38 | General Patient Charge: $25.00 |
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DPMQ: $33.08 | Max safety net: $24.38 | General Patient Charge: $35.24 | ||
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: 120 | # of repeats: 5 | DPMQ: $20.84 | Max safety net: $22.38 | General Patient Charge: $25.00 |
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DPMQ: $31.24 | Max safety net: $22.38 | General Patient Charge: $35.40 | ||
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: 200 | # of repeats: 5 | DPMQ: $20.84 | Max safety net: $22.38 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $31.24 | Max safety net: $22.38 | General Patient Charge: $35.40 | ||
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: 180 | # of repeats: 5 | DPMQ: $22.84 | Max safety net: $24.38 | General Patient Charge: $25.00 |
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DPMQ: $32.20 | Max safety net: $24.38 | General Patient Charge: $34.36 | ||
Manner of administration:Oral
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: $17.60 | Max safety net: $19.14 | General Patient Charge: $21.93 |
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DPMQ: $22.80 | Max safety net: $19.14 | General Patient Charge: $27.13 | ||
Manner of administration:Oral
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: $17.60 | Max safety net: $19.14 | General Patient Charge: $21.93 |
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DPMQ: $22.80 | Max safety net: $19.14 | General Patient Charge: $27.13 | ||
Manner of administration:Oral
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: $18.60 | Max safety net: $20.14 | General Patient Charge: $22.93 |
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DPMQ: $23.72 | Max safety net: $20.14 | General Patient Charge: $28.05 | ||
Manner of administration:Oral
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: $18.60 | Max safety net: $20.14 | General Patient Charge: $22.93 |
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DPMQ: $23.28 | Max safety net: $20.14 | General Patient Charge: $27.61 | ||
Manner of administration:Oral
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: $18.60 | Max safety net: $20.14 | General Patient Charge: $22.93 |
| Available brands | |||||
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DPMQ: $23.72 | Max safety net: $20.14 | General Patient Charge: $28.05 | ||
