BECLOMETASONE

BECLOMETASONE (14540G)

beclometasone dipropionate 50 microgram/actuation inhalation, 200 actuations
14540G
Body System:
Manner of administration:Inhalation By Mouth
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: 2 # of repeats: 5 DPMQ: $27.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Qvar 50

BECLOMETASONE (8406K)

beclometasone dipropionate 50 microgram/actuation inhalation, 200 actuations
8406K
Body System:
Manner of administration:Inhalation By Mouth
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: 1 # of repeats: 5 DPMQ: $20.86 Max safety net: $22.34 General Patient Charge: $25.00
Available brands
Qvar 50