ENTECAVIR
entecavir 1 mg tablet, 30
ENTECAVIR (10353X)
10353X
Manner of administration:Oral
Restriction 5044
Indication: Chronic hepatitis B infection
Restriction 5037
Indication: Chronic hepatitis B infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $98.60 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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