INDACATEROL

indacaterol 300 microgram powder for inhalation, 30 capsules
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Chronic obstructive pulmonary disease (COPD)
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: $105.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Onbrez
indacaterol 300 microgram powder for inhalation, 30 capsules
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Chronic obstructive pulmonary disease (COPD)
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: $59.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Onbrez