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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-Irbesartan
AVSARTAN
Abisart 150
Blooms Irbesartan
IRBESARTAN-WGR
Irbesartan Sandoz
Avapro
*Additional charge for this brand is $4.04
DPMQ: $20.54 Max safety net: $17.98 General Patient Charge: $24.81
Karvea
*Additional charge for this brand is $4.04
DPMQ: $20.54 Max safety net: $17.98 General Patient Charge: $24.81