RALTEGRAVIR

Source S100 HSD Community Access
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
10286JMPNP RALTEGRAVIR
raltegravir 400 mg tablet, 60 (PI, CMI)
2 120 5 $883.35 $31.60 $31.60
Available brands
Isentress
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner