AMLODIPINE

AMLODIPINE (13562T)

amlodipine 10 mg tablet, 30
13562T
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: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
AMLODIPINE-WGR
APO-Amlodipine
APX-AMLODIPINE
Amlo 10
Amlodipine GH
Amlodipine Sandoz
Blooms Amlodipine
Nordip
Pharmacor Amlodipine
Norvasc
*Additional charge for this brand is $22.36
 DPMQ: $41.58 Max safety net: $20.70 General Patient Charge: $45.85

AMLODIPINE (2752W)

amlodipine 10 mg tablet, 30
2752W
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
AMLODIPINE-WGR
APO-Amlodipine
APX-AMLODIPINE
Amlo 10
Amlodipine GH
Amlodipine Sandoz
Blooms Amlodipine
Nordip
Pharmacor Amlodipine
Norvasc
*Additional charge for this brand is $11.18
 DPMQ: $27.68 Max safety net: $17.98 General Patient Charge: $31.95