EMPAGLIFLOZIN

empagliflozin 10 mg tablet, 30

EMPAGLIFLOZIN (13845Q)

empagliflozin 10 mg tablet, 30
13845Q
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16164)

Indication: Diabetes mellitus type 2

Restriction (Streamlined authority code: 15265)

Indication: Diabetes mellitus type 2
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: $97.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Jardiance