CICLESONIDE
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: $35.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Alvesco 80 | |||||
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: $53.36 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Alvesco 160 | |||||
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: $24.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Alvesco 80 | |||||
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: $33.57 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Alvesco 160 | |||||