EPROSARTAN
Manner of administration:Oral
Restriction
Indication: Adverse effects occurring with all of the base-priced drugs
Restriction
Indication: Drug interactions occurring with all of the base-priced drugs
Restriction
Indication: Drug interactions expected to occur with all of the base-priced drugs
Restriction
Indication: Transfer to a base-priced drug would cause patient confusion resulting in problems
with compliance
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: $42.36 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Teveten | |||||
Manner of administration:Oral
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: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| Teveten |
DPMQ: $42.36 | Max safety net: $25.00 | General Patient Charge: $30.24 | ||
Manner of administration:Oral
Restriction
Indication: Adverse effects occurring with all of the base-priced drugs
Restriction
Indication: Drug interactions occurring with all of the base-priced drugs
Restriction
Indication: Drug interactions expected to occur with all of the base-priced drugs
Restriction
Indication: Transfer to a base-priced drug would cause patient confusion resulting in problems
with compliance
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: $28.07 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Teveten | |||||
Manner of administration:Oral
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: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| Teveten |
DPMQ: $28.07 | Max safety net: $25.00 | General Patient Charge: $27.62 | ||