BISOPROLOL

bisoprolol fumarate 10 mg tablet, 28
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Moderate to severe heart failure
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $19.00 Max safety net: $20.54 General Patient Charge: $23.33
Available brands
APO-Bisoprolol
BISOPROLOL-WGR
Bicard 10
Bisoprolol Sandoz
Bisoprolol generichealth
Bispro 10
Bicor
*Additional charge for this brand is $3.69
DPMQ: $22.69 Max safety net: $20.54 General Patient Charge: $27.02