SACUBITRIL + VALSARTAN
sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56
SACUBITRIL + VALSARTAN (11122J)
11122J
Manner of administration:Oral
Restriction 18150
Indication: Chronic heart failure
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 56 | # of repeats: 5 | DPMQ: $100.59 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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