RABEPRAZOLE
rabeprazole sodium 20 mg enteric tablet, 30
RABEPRAZOLE (14433P)
14433P
Manner of administration:Oral
Restriction (Streamlined authority code: 15658)
Indication: Scleroderma oesophagus
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: $20.96 | Max safety net: $22.44 | General Patient Charge: $25.00 |
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