BECLOMETASONE
BECLOMETASONE (14378R)
Manner of administration:Inhalation By Mouth
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: $37.22 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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beclometasone dipropionate 100 microgram/actuation breath activated inhalation, 200
actuations
Manner of administration:Inhalation By Mouth
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: $49.22 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 100 Autohaler | |||||
Manner of administration:Inhalation By Mouth
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: $28.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 50 | |||||
beclometasone dipropionate 100 microgram/actuation inhalation, 200 actuations
Manner of administration:Inhalation By Mouth
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: $43.18 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 100 | |||||
Manner of administration:Inhalation By Mouth
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: $21.22 | Max safety net: $22.76 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 50 | |||||
Manner of administration:Inhalation By Mouth
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: $28.77 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 100 | |||||
BECLOMETASONE (8408M)
Manner of administration:Inhalation By Mouth
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: $25.79 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
beclometasone dipropionate 100 microgram/actuation breath activated inhalation, 200
actuations
Manner of administration:Inhalation By Mouth
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: $31.79 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Qvar 100 Autohaler | |||||