CANDESARTAN + HYDROCHLOROTHIAZIDE

CANDESARTAN + HYDROCHLOROTHIAZIDE (13391T)

candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30
13391T
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: 60 # of repeats: 5 DPMQ: $22.84 Max safety net: $24.38 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 16/12.5
Adesan HCT 16/12.5
BTC Candesartan HCT
CANDESAN COMBI 16/12.5
CANDESARTAN HCTZ-WGR 16/12.5
Candesartan/HCT Sandoz
Atacand Plus 16/12.5
*Additional charge for this brand is $25.26
 DPMQ: $48.10 Max safety net: $24.38 General Patient Charge: $50.26

CANDESARTAN + HYDROCHLOROTHIAZIDE (13452B)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
13452B
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: 60 # of repeats: 5 DPMQ: $22.84 Max safety net: $24.38 General Patient Charge: $25.00
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $21.56
 DPMQ: $44.40 Max safety net: $24.38 General Patient Charge: $46.56

CANDESARTAN + HYDROCHLOROTHIAZIDE (8504N)

candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30
8504N
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: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Candesartan HCTZ 16/12.5
Adesan HCT 16/12.5
BTC Candesartan HCT
CANDESAN COMBI 16/12.5
CANDESARTAN HCTZ-WGR 16/12.5
Candesartan/HCT Sandoz
Atacand Plus 16/12.5
*Additional charge for this brand is $12.63
 DPMQ: $31.23 Max safety net: $20.14 General Patient Charge: $35.56

CANDESARTAN + HYDROCHLOROTHIAZIDE (9314F)

candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30
9314F
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: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Candesartan HCTZ 32/12.5
Adesan HCT 32/12.5
BTC Candesartan HCT
CANDESAN COMBI 32/12.5
CANDESARTAN HCTZ-WGR 32/12.5
Candesartan/HCT Sandoz
Atacand Plus 32/12.5
*Additional charge for this brand is $10.78
 DPMQ: $29.38 Max safety net: $20.14 General Patient Charge: $33.71

CANDESARTAN + HYDROCHLOROTHIAZIDE (9315G)

candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30
9315G
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: $19.10 Max safety net: $20.64 General Patient Charge: $23.43
Available brands
APO-Candesartan HCTZ 32/25
Adesan HCT 32/25
BTC Candesartan HCT
CANDESAN COMBI 32/25
CANDESARTAN HCTZ-WGR 32/25
Candesartan/HCT Sandoz
Atacand Plus 32/25
*Additional charge for this brand is $10.48
 DPMQ: $29.58 Max safety net: $20.64 General Patient Charge: $33.91