INDAPAMIDE

INDAPAMIDE (13378D)

indapamide hemihydrate 2.5 mg tablet, 90
13378D
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: 180 # of repeats: 1 DPMQ: $22.84 Max safety net: $24.38 General Patient Charge: $25.00
Available brands
Dapa-Tabs
Insig

INDAPAMIDE (13475F)

indapamide hemihydrate 1.5 mg modified release tablet, 90
13475F
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: 180 # of repeats: 1 DPMQ: $24.98 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Indapamide SR
Natrilix SR
Odaplix SR

INDAPAMIDE (2436F)

indapamide hemihydrate 2.5 mg tablet, 90
2436F
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: 90 # of repeats: 1 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
Dapa-Tabs
Insig

INDAPAMIDE (8532C)

indapamide hemihydrate 1.5 mg modified release tablet, 90
8532C
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: 90 # of repeats: 1 DPMQ: $19.67 Max safety net: $21.21 General Patient Charge: $24.00
Available brands
APO-Indapamide SR
Natrilix SR
Odaplix SR