AMLODIPINE + VALSARTAN

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: $26.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Amlodipine/Valsartan Novartis 10/320
Exforge 10/320
*Additional charge for this brand is $8.00
DPMQ: $34.60 Max safety net: $25.00 General Patient Charge: $33.00