GLICLAZIDE

GLICLAZIDE (9302N)

gliclazide 60 mg modified release tablet, 60
9302N
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: 60 # of repeats: 5 DPMQ: $18.00 Max safety net: $19.48 General Patient Charge: $22.27
Available brands
ARDIX GLICLAZIDE 60mg MR
Gliclazide Lupin MR
Gliclazide Sandoz MR
Pharmacor Gliclazide MR
Diamicron 60mg MR
*Additional charge for this brand is $9.95
 DPMQ: $27.95 Max safety net: $19.48 General Patient Charge: $32.22