LAMIVUDINE

lamivudine 10 mg/mL oral liquid, 240 mL

LAMIVUDINE (10320E)

lamivudine 10 mg/mL oral liquid, 240 mL
10320E
Body System:
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction  4512

Indication: HIV infection
Treatment phase: Initial

Restriction  4454

Indication: HIV infection
Treatment phase: Continuing
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 8 Max qty units: 8 # of repeats: 5 DPMQ: $474.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
3TC