INDAPAMIDE

INDAPAMIDE (13378D)

indapamide hemihydrate 2.5 mg tablet, 90
13378D
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: 1 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
Dapa-Tabs
Insig

INDAPAMIDE (2436F)

indapamide hemihydrate 2.5 mg tablet, 90
2436F
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: 90 # of repeats: 1 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
Dapa-Tabs
Insig