TRANDOLAPRIL

TRANDOLAPRIL (13429T)

trandolapril 1 mg capsule, 28
13429T
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: $22.22 Max safety net: $23.76 General Patient Charge: $25.00
Available brands
Dolapril 1
Tranalpha
Trandolapril Viatris
Gopten
*Additional charge for this brand is $6.64
 DPMQ: $28.86 Max safety net: $23.76 General Patient Charge: $31.64

TRANDOLAPRIL (2792Y)

trandolapril 1 mg capsule, 28
2792Y
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: $18.29 Max safety net: $19.83 General Patient Charge: $22.62
Available brands
Dolapril 1
Tranalpha
Trandolapril Viatris
Gopten
*Additional charge for this brand is $3.32
 DPMQ: $21.61 Max safety net: $19.83 General Patient Charge: $25.94