MARAVIROC
maraviroc 300 mg tablet, 60
MARAVIROC (10355B)
10355B
Manner of administration:Oral
Restriction (Streamlined authority code: 5008)
Indication: HIV 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: 120 | # of repeats: 5 | DPMQ: $1,225.84 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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