SALMETEROL

SALMETEROL (14328D)

salmeterol 50 microgram/actuation powder for inhalation, 60 actuations
14328D
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $47.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Serevent Accuhaler

SALMETEROL (8141L)

salmeterol 50 microgram/actuation powder for inhalation, 60 actuations
8141L
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $30.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Serevent Accuhaler