TELMISARTAN

telmisartan 80 mg tablet, 28

TELMISARTAN (13593K)

telmisartan 80 mg tablet, 28
13593K
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: 56 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Telmisartan
Mizart
Pharmacor Telmisartan 80
TELMISARTAN-WGR
Telmisartan Sandoz
Teltartan
Micardis
*Additional charge for this brand is $20.00
 DPMQ: $42.40 Max safety net: $23.88 General Patient Charge: $45.00