TRANDOLAPRIL

TRANDOLAPRIL (13554J)

trandolapril 500 microgram capsule, 28
13554J
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: 56 # of repeats: 5 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
Dolapril 0.5
Tranalpha
Trandolapril Viatris
Gopten
*Additional charge for this brand is $6.96
 DPMQ: $26.18 Max safety net: $20.70 General Patient Charge: $30.45

TRANDOLAPRIL (2791X)

trandolapril 500 microgram capsule, 28
2791X
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: 28 # of repeats: 5 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
Dolapril 0.5
Tranalpha
Trandolapril Viatris
Gopten
*Additional charge for this brand is $3.48
 DPMQ: $19.98 Max safety net: $17.98 General Patient Charge: $24.25