MOCLOBEMIDE

moclobemide 150 mg tablet, 60

MOCLOBEMIDE (1900B)

moclobemide 150 mg tablet, 60
1900B
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: 1 Max qty units: 60 # of repeats: 5 DPMQ: $19.81 Max safety net: $21.35 General Patient Charge: $24.14
Available brands
Amira 150
Clobemix
MOCLOBEMIDE-WGR
Moclobemide Sandoz
Aurorix
*Additional charge for this brand is $3.86
 DPMQ: $23.67 Max safety net: $21.35 General Patient Charge: $28.00