ACARBOSE

ACARBOSE (13869Y)

acarbose 100 mg tablet, 90
13869Y
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: 180 # of repeats: 5 DPMQ: $54.86 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Acarbose Viatris
GLYBOSAY

ACARBOSE (13955L)

acarbose 50 mg tablet, 90
13955L
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: 180 # of repeats: 5 DPMQ: $42.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Acarbose Viatris
GLYBOSAY

ACARBOSE (8188Y)

acarbose 50 mg tablet, 90
8188Y
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: 90 # of repeats: 5 DPMQ: $28.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Acarbose Viatris
GLYBOSAY

ACARBOSE (8189B)

acarbose 100 mg tablet, 90
8189B
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: 90 # of repeats: 5 DPMQ: $34.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Acarbose Viatris
GLYBOSAY