METFORMIN

METFORMIN (13899M)

metformin hydrochloride 500 mg modified release tablet, 120
13899M
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: 240 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Metformin XR 500
Blooms Metformin XR
Diaformin Alphapharm XR
METFORMIN-WGR XR
Metex XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 500
*Additional charge for this brand is $10.68
 DPMQ: $33.08 Max safety net: $23.88 General Patient Charge: $35.68

METFORMIN (9435N)

metformin hydrochloride 500 mg modified release tablet, 120
9435N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 5 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Metformin XR 500
Blooms Metformin XR
Diaformin Alphapharm XR
METFORMIN-WGR XR
Metex XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 500
*Additional charge for this brand is $5.34
 DPMQ: $23.43 Max safety net: $19.57 General Patient Charge: $27.70