FLUVOXAMINE

fluvoxamine maleate 50 mg tablet, 30

FLUVOXAMINE (8512B)

fluvoxamine maleate 50 mg tablet, 30
8512B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders

Restriction

Indication: Obsessive-compulsive disorder
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: $19.86 Max safety net: $21.40 General Patient Charge: $24.19
Available brands
APO-Fluvoxamine
FLUVOXAMINE-WGR
Faverin 50
Movox 50
Luvox
*Additional charge for this brand is $3.39
 DPMQ: $23.25 Max safety net: $21.40 General Patient Charge: $27.58