GABAPENTIN
gabapentin 300 mg capsule, 100
GABAPENTIN (1834M)
1834M
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 17445)
Indication: Focal onset seizures
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 100 | # of repeats: 5 | DPMQ: $23.43 | Max safety net: $24.91 | General Patient Charge: $25.00 |
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DPMQ: $25.63 | Max safety net: $24.91 | General Patient Charge: $27.20 | ||