DANTROLENE

dantrolene sodium hemiheptahydrate 25 mg capsule, 100

DANTROLENE (1779P)

dantrolene sodium hemiheptahydrate 25 mg capsule, 100
1779P
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Chronic spasticity
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 2 DPMQ: $163.14 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dantrium