ISOTRETINOIN
isotretinoin 10 mg capsule, 60
ISOTRETINOIN (2591J)
2591J
Body System:
Manner of administration:Oral
Restriction 17268
Indication: Severe cystic acne
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: 3 | DPMQ: $30.87 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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