PERINDOPRIL + AMLODIPINE

PERINDOPRIL + AMLODIPINE (13382H)

perindopril arginine 10 mg + amlodipine 10 mg tablet, 30
13382H
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: $25.92 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Perindopril Arginine/Amlodipine 10/10
APX-Perindopril Arginine/Amlodipine 10/10
Perindopril Arginine/Amlodipine-WGR 10/10
Reaptan 10/10
Coveram 10/10
*Additional charge for this brand is $22.98
 DPMQ: $48.90 Max safety net: $25.00 General Patient Charge: $47.98

PERINDOPRIL + AMLODIPINE (9349C)

perindopril arginine 10 mg + amlodipine 10 mg tablet, 30
9349C
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: $20.14 Max safety net: $21.68 General Patient Charge: $24.47
Available brands
APO-Perindopril Arginine/Amlodipine 10/10
APX-Perindopril Arginine/Amlodipine 10/10
Perindopril Arginine/Amlodipine-WGR 10/10
Reaptan 10/10
Coveram 10/10
*Additional charge for this brand is $11.49
 DPMQ: $31.63 Max safety net: $21.68 General Patient Charge: $35.96