IRBESARTAN + HYDROCHLOROTHIAZIDE

IRBESARTAN + HYDROCHLOROTHIAZIDE (8404H)

irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30
8404H
Body System:
Manner of administration:Oral
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 HCTZ
AVSARTAN HCT 150/12.5
Abisart HCTZ 150/12.5
IRBESARTAN HCTZ-WGR 150/12.5
Irbesartan/HCT Sandoz
Avapro HCT 150/12.5
*Additional charge for this brand is $3.81
 DPMQ: $20.91 Max safety net: $18.64 General Patient Charge: $25.24
Karvezide 150/12.5
*Additional charge for this brand is $3.81
 DPMQ: $20.91 Max safety net: $18.64 General Patient Charge: $25.24