HYDROXYCHLOROQUINE
hydroxychloroquine sulfate 200 mg tablet, 100
HYDROXYCHLOROQUINE (1512N)
1512N
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 100 | # of repeats: 3 | DPMQ: $27.85 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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