ESOMEPRAZOLE
esomeprazole 20 mg enteric capsule, 30
ESOMEPRAZOLE (14510Q)
14510Q
Manner of administration:Oral
Restriction 15658
Indication: Scleroderma oesophagus
Restriction 15682
Indication: Pathological hypersecretory conditions including Zollinger-Ellison syndrome and idiopathic
hypersecretion
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: $22.40 | Max safety net: $23.88 | General Patient Charge: $25.00 |
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