MIRTAZAPINE
mirtazapine 45 mg tablet, 30
MIRTAZAPINE (14561J)
14561J
Body System:
Manner of administration:Oral
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: $24.02 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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