PERINDOPRIL + AMLODIPINE

PERINDOPRIL + AMLODIPINE (13381G)

perindopril arginine 5 mg + amlodipine 10 mg tablet, 30
13381G
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: $22.68 Max safety net: $24.16 General Patient Charge: $25.00
Available brands
APO-Perindopril Arginine/Amlodipine 5/10
APX-Perindopril Arginine/Amlodipine 5/10
Perindopril Arginine/Amlodipine-WGR 5/10
Reaptan 5/10
Coveram 5/10
*Additional charge for this brand is $22.78
 DPMQ: $45.46 Max safety net: $24.16 General Patient Charge: $47.78

PERINDOPRIL + AMLODIPINE (9347Y)

perindopril arginine 5 mg + amlodipine 10 mg tablet, 30
9347Y
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: $18.23 Max safety net: $19.71 General Patient Charge: $22.50
Available brands
APO-Perindopril Arginine/Amlodipine 5/10
APX-Perindopril Arginine/Amlodipine 5/10
Perindopril Arginine/Amlodipine-WGR 5/10
Reaptan 5/10
Coveram 5/10
*Additional charge for this brand is $11.39
 DPMQ: $29.62 Max safety net: $19.71 General Patient Charge: $33.89