ESOMEPRAZOLE (&) CLARITHROMYCIN (&) AMOXICILLIN
esomeprazole 20 mg enteric tablet [14] (&) amoxicillin 500 mg capsule [28] (&) clarithromycin
500 mg tablet [14], 1 pack
ESOMEPRAZOLE (&) CLARITHROMYCIN (&) AMOXICILLIN (10759G)
10759G
Manner of administration:Oral
Restriction
Indication: Eradication of Helicobacter pylori
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 0 | DPMQ: $36.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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