BISOPROLOL

bisoprolol fumarate 5 mg tablet, 28
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Moderate to severe heart failure
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Bisoprolol
BISOPROLOL-WGR
Bicard 5
Bisoprolol Sandoz
Bisoprolol generichealth
Bispro 5
Bicor
*Additional charge for this brand is $4.38
DPMQ: $22.47 Max safety net: $19.57 General Patient Charge: $26.74