AMLODIPINE + VALSARTAN

AMLODIPINE + VALSARTAN (9376L)

amlodipine 5 mg + valsartan 160 mg tablet, 28
9376L
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: 28 # of repeats: 5 DPMQ: $23.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Amlodipine/Valsartan Novartis 5/160
Exforge 5/160
*Additional charge for this brand is $8.00
 DPMQ: $31.80 Max safety net: $25.00 General Patient Charge: $33.00