SAFINAMIDE

safinamide 100 mg tablet, 30

SAFINAMIDE (11666B)

safinamide 100 mg tablet, 30
11666B
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $88.39 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ARX-Safinamide
XAFIMED
Xadago