DACLATASVIR

Source S100 HSD Public
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10651NMPNP DACLATASVIR
daclatasvir 30 mg tablet, 28 (PI, CMI)
1 28 2 $4600.00 $41.00 $41.00
Available brands
Daklinza
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner