FLUTICASONE PROPIONATE + SALMETEROL
fluticasone propionate 250 microgram/actuation + salmeterol 50 microgram/actuation
powder for inhalation, 60 actuations
FLUTICASONE PROPIONATE + SALMETEROL (14449L)
14449L
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15693)
Indication: Asthma
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 2 | # of repeats: 5 | DPMQ: $70.82 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $80.52 | Max safety net: $25.00 | General Patient Charge: $34.70 | ||
