ESOMEPRAZOLE

esomeprazole 40 mg enteric tablet, 30

ESOMEPRAZOLE (12283L)

esomeprazole 40 mg enteric tablet, 30
12283L
Body System:
Manner of administration:Oral
General Schedule
Authority Required

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: $28.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Esomeprazole
ESOMEPRAZOLE-WGR
Esomeprazole GH
Esomeprazole GxP
Esomeprazole RBX
Esomeprazole Viatris
Esopreze
Nexazole
Nexole
Nexium
*Additional charge for this brand is $14.00
 DPMQ: $42.40 Max safety net: $25.00 General Patient Charge: $39.00