TICAGRELOR
ticagrelor 90 mg tablet, 56
TICAGRELOR (13524T)
13524T
Body System:
Manner of administration:Oral
Restriction 14240
Indication: Acute coronary syndrome (myocardial infarction or unstable angina)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 112 | # of repeats: 5 | DPMQ: $193.02 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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