TELMISARTAN

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: 56 # of repeats: 5 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
APO-Telmisartan
Mizart
Pharmacor Telmisartan 40
TELMISARTAN-WGR
Telmisartan Sandoz
Teltartan
Micardis
*Additional charge for this brand is $19.18
DPMQ: $39.02 Max safety net: $21.38 General Patient Charge: $43.35
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: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
APO-Telmisartan
Mizart
Pharmacor Telmisartan 40
TELMISARTAN-WGR
Telmisartan Sandoz
Teltartan
Micardis
*Additional charge for this brand is $9.59
DPMQ: $26.69 Max safety net: $18.64 General Patient Charge: $31.02