IRBESARTAN

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: 30 # of repeats: 5 DPMQ: $17.10 Max safety net: $18.64 General Patient Charge: $21.43
Available brands
APO-Irbesartan
AVSARTAN
Abisart 150
Blooms Irbesartan
IRBESARTAN-WGR
Irbesartan Sandoz
Avapro
*Additional charge for this brand is $3.81
DPMQ: $20.91 Max safety net: $18.64 General Patient Charge: $25.24
Karvea
*Additional charge for this brand is $3.81
DPMQ: $20.91 Max safety net: $18.64 General Patient Charge: $25.24