GLECAPREVIR + PIBRENTASVIR

Source S100 HSD Public
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11332KMPNP GLECAPREVIR + PIBRENTASVIR
glecaprevir 100 mg + pibrentasvir 40 mg tablet, 84 (PI, CMI)
1 84 1 $16846.67 $31.60 $31.60
Available brands
Maviret
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner