BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM

beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations

14310E

Body System:

Respiratory System
>
Drugs For Obstructive Airway Diseases
>
Adrenergics, Inhalants

Manner of administration:Inhalation By Mouth

General Schedule

Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15543)

Indication: Chronic obstructive pulmonary disease (COPD)

Quantities & Cost

Max qty packs	Max qty units	# of repeats	DPMQ	Max safety net	General Patient Charge
Max qty packs: 2	Max qty units: 2	# of repeats: 5	DPMQ: $137.60	Max safety net: $25.00	General Patient Charge: $25.00
Available brands
Trimbow

BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUM (14310E)

Restriction (Streamlined authority code: 15543)