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: $18.10 Max safety net: $19.64 General Patient Charge: $22.43
Available brands
APO-Irbesartan
AVSARTAN
Abisart 300
Blooms Irbesartan
IRBESARTAN-WGR
Irbesartan Sandoz
Avapro
*Additional charge for this brand is $3.82
DPMQ: $21.92 Max safety net: $19.64 General Patient Charge: $26.25
Karvea
*Additional charge for this brand is $3.82
DPMQ: $21.92 Max safety net: $19.64 General Patient Charge: $26.25