DESVENLAFAXINE

desvenlafaxine 100 mg modified release tablet, 28

DESVENLAFAXINE (14545M)

desvenlafaxine 100 mg modified release tablet, 28
14545M
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: 56 # of repeats: 2 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Pristiq
*Additional charge for this brand is $9.00
 DPMQ: $39.84 Max safety net: $25.00 General Patient Charge: $34.00