AMLODIPINE + VALSARTAN
Manner of administration:Oral
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: 56 | # of repeats: 5 | DPMQ: $39.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $55.42 | Max safety net: $25.00 | General Patient Charge: $41.00 | ||
Manner of administration:Oral
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: 56 | # of repeats: 5 | DPMQ: $29.76 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $45.76 | Max safety net: $25.00 | General Patient Charge: $41.00 | ||
Manner of administration:Oral
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: 56 | # of repeats: 5 | DPMQ: $34.88 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $50.88 | Max safety net: $25.00 | General Patient Charge: $41.00 | ||
Manner of administration:Oral
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: 56 | # of repeats: 5 | DPMQ: $33.82 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $49.82 | Max safety net: $25.00 | General Patient Charge: $41.00 | ||
Manner of administration:Oral
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: 56 | # of repeats: 5 | DPMQ: $39.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $55.00 | Max safety net: $25.00 | General Patient Charge: $41.00 | ||
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $26.39 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $34.39 | Max safety net: $25.00 | General Patient Charge: $33.00 | ||
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $26.60 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $34.60 | Max safety net: $25.00 | General Patient Charge: $33.00 | ||
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $21.77 | Max safety net: $23.25 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $29.77 | Max safety net: $23.25 | General Patient Charge: $33.00 | ||
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $23.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $31.80 | Max safety net: $25.00 | General Patient Charge: $33.00 | ||
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $24.33 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $32.33 | Max safety net: $25.00 | General Patient Charge: $33.00 | ||