ZIDOVUDINE

zidovudine 50 mg/5 mL oral liquid, 200 mL

ZIDOVUDINE (10361H)

zidovudine 50 mg/5 mL oral liquid, 200 mL
10361H
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: 15 Max qty units: 15 # of repeats: 5 DPMQ: $577.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Retrovir