VALGANCICLOVIR

valganciclovir 50 mg/mL powder for oral liquid, 100 mL

VALGANCICLOVIR (10277X)

valganciclovir 50 mg/mL powder for oral liquid, 100 mL
10277X
Body System:
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction  4980

Indication: Cytomegalovirus retinitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 11 Max qty units: 11 # of repeats: 5 DPMQ: $4,398.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Valcyte