PANTOPRAZOLE
pantoprazole 40 mg enteric tablet, 30
PANTOPRAZOLE (12277E)
12277E
Manner of administration:Oral
Restriction
Indication: Complex gastro-oesophageal reflux disease (GORD)
Treatment phase: One of: (1) establishment of symptom control, (2) maintenance treatment, (3) re-establishment
of symptom control
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $20.58 | Max safety net: $22.12 | General Patient Charge: $24.91 |
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DPMQ: $29.96 | Max safety net: $22.12 | General Patient Charge: $34.29 | ||