CANDESARTAN + HYDROCHLOROTHIAZIDE

CANDESARTAN + HYDROCHLOROTHIAZIDE (13391T)

candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30
13391T
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: 60 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 16/12.5
Adesan HCT 16/12.5
BTC Candesartan HCT
CANDESAN COMBI 16/12.5
CANDESARTAN HCTZ-WGR 16/12.5
Candesartan/HCT Sandoz
Atacand Plus 16/12.5
*Additional charge for this brand is $26.18
 DPMQ: $48.58 Max safety net: $23.88 General Patient Charge: $51.18

CANDESARTAN + HYDROCHLOROTHIAZIDE (13392W)

candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30
13392W
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: 60 # of repeats: 5 DPMQ: $23.48 Max safety net: $24.96 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 32/25
Adesan HCT 32/25
BTC Candesartan HCT
CANDESAN COMBI 32/25
CANDESARTAN HCTZ-WGR 32/25
Candesartan/HCT Sandoz
Atacand Plus 32/25
*Additional charge for this brand is $21.70
 DPMQ: $45.18 Max safety net: $24.96 General Patient Charge: $46.70

CANDESARTAN + HYDROCHLOROTHIAZIDE (13452B)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
13452B
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: 60 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $22.36
 DPMQ: $44.76 Max safety net: $23.88 General Patient Charge: $47.36

CANDESARTAN + HYDROCHLOROTHIAZIDE (8504N)

candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30
8504N
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: 30 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Candesartan HCTZ 16/12.5
Adesan HCT 16/12.5
BTC Candesartan HCT
CANDESAN COMBI 16/12.5
CANDESARTAN HCTZ-WGR 16/12.5
Candesartan/HCT Sandoz
Atacand Plus 16/12.5
*Additional charge for this brand is $13.09
 DPMQ: $31.18 Max safety net: $19.57 General Patient Charge: $35.45

CANDESARTAN + HYDROCHLOROTHIAZIDE (9314F)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
9314F
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: 30 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $11.18
 DPMQ: $29.27 Max safety net: $19.57 General Patient Charge: $33.54

CANDESARTAN + HYDROCHLOROTHIAZIDE (9315G)

candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30
9315G
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: 30 # of repeats: 5 DPMQ: $18.63 Max safety net: $20.11 General Patient Charge: $22.90
Available brands
APO-Candesartan HCTZ 32/25
Adesan HCT 32/25
BTC Candesartan HCT
CANDESAN COMBI 32/25
CANDESARTAN HCTZ-WGR 32/25
Candesartan/HCT Sandoz
Atacand Plus 32/25
*Additional charge for this brand is $10.85
 DPMQ: $29.48 Max safety net: $20.11 General Patient Charge: $33.75