CANDESARTAN + HYDROCHLOROTHIAZIDE

CANDESARTAN + HYDROCHLOROTHIAZIDE (13452B)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
13452B
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: 60 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $22.36
 DPMQ: $44.76 Max safety net: $23.88 General Patient Charge: $47.36

CANDESARTAN + HYDROCHLOROTHIAZIDE (9314F)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
9314F
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: 30 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $11.18
 DPMQ: $29.27 Max safety net: $19.57 General Patient Charge: $33.54