LEVODOPA + CARBIDOPA + ENTACAPONE

levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100

LEVODOPA + CARBIDOPA + ENTACAPONE (14527N)

levodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100
14527N
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Parkinson disease

Restriction

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 400 # of repeats: 4 DPMQ: $215.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Carlevent
L.C.E. Sandoz
Lecteva
Stalevo 125/31.25/200mg