INDAPAMIDE
Body System:
Manner of administration:Oral
Restriction
Indication: The condition must be stable for the prescriber to consider the listed maximum quantity
of this medicine suitable for this patient.
Body System:
Manner of administration:Oral
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: 1 | DPMQ: $24.70 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $37.24 | Max safety net: $25.00 | General Patient Charge: $37.54 | ||
Body System:
Manner of administration:Oral
Body System:
Manner of administration:Oral
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: 1 | DPMQ: $19.24 | Max safety net: $20.72 | General Patient Charge: $23.51 |
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DPMQ: $25.51 | Max safety net: $20.72 | General Patient Charge: $29.78 | ||