LEVETIRACETAM
levetiracetam 500 mg tablet, 60
LEVETIRACETAM (14034P)
14034P
Body System:
Manner of administration:Oral
Restriction
Indication: Epileptic seizures
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 120 | # of repeats: 5 | DPMQ: $39.52 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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