LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13402JMPNP
LISINOPRIL
lisinopril 20 mg tablet, 30 (PI, CMI)
2 60 5 $21.63 $23.08 $26.53
Available brands
APO-Lisinoprila
Fibsol 20a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 20a
Zestrila
* Additional charge for this brand is $9.66B
2 60 5 $31.29 $23.08 $36.19
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13583XMPNP
LISINOPRIL
lisinopril 5 mg tablet, 30 (PI, CMI)
2 60 5 $18.91 $20.36 $23.81
Available brands
APO-Lisinoprila
Fibsol 5a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $9.64B
2 60 5 $28.55 $20.36 $33.45
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13584YMPNP
LISINOPRIL
lisinopril 10 mg tablet, 30 (PI, CMI)
2 60 5 $20.99 $22.44 $25.89
Available brands
APO-Lisinoprila
Fibsol 10a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $9.68B
2 60 5 $30.67 $22.44 $35.57
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2456GMPNP LISINOPRIL
lisinopril 5 mg tablet, 30 (PI, CMI)
1 30 5 $16.18 $17.63 $21.08
Available brands
APO-Lisinoprila
Fibsol 5a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $4.82B
1 30 5 $21.00 $17.63 $25.90
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2457HMPNP LISINOPRIL
lisinopril 10 mg tablet, 30 (PI, CMI)
1 30 5 $17.22 $18.67 $22.12
Available brands
APO-Lisinoprila
Fibsol 10a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $4.84B
1 30 5 $22.06 $18.67 $26.96
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2458JMPNP LISINOPRIL
lisinopril 20 mg tablet, 30 (PI, CMI)
1 30 5 $17.54 $18.99 $22.44
Available brands
APO-Lisinoprila
Fibsol 20a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 20a
Zestrila
* Additional charge for this brand is $4.83B
1 30 5 $22.37 $18.99 $27.27
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions