PERINDOPRIL

perindopril arginine 5 mg tablet, 30
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: $21.16 Max safety net: $22.70 General Patient Charge: $25.00
Available brands
APO-Perindopril Arginine
APX-Perindopril Arginine
PREXUM 5
Perindopril Arginine Sandoz
Perindopril Arginine-WGR
Coversyl 5mg
*Additional charge for this brand is $18.12
DPMQ: $39.28 Max safety net: $22.70 General Patient Charge: $43.12
perindopril arginine 5 mg tablet, 30
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: $17.76 Max safety net: $19.30 General Patient Charge: $22.09
Available brands
APO-Perindopril Arginine
APX-Perindopril Arginine
PREXUM 5
Perindopril Arginine Sandoz
Perindopril Arginine-WGR
Coversyl 5mg
*Additional charge for this brand is $9.06
DPMQ: $26.82 Max safety net: $19.30 General Patient Charge: $31.15