SERTRALINE

sertraline 100 mg tablet, 30

SERTRALINE (14506L)

sertraline 100 mg tablet, 30
14506L
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders
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: 2 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
APO-Sertraline
Blooms The Chemist Sertraline
Eleva 100
SERTRALINE-WGR
Sertra 100
Sertraline Sandoz
Sertraline generichealth
Setrona
Zoloft
*Additional charge for this brand is $12.94
 DPMQ: $32.78 Max safety net: $21.38 General Patient Charge: $37.11