THIAMINE

thiamine hydrochloride 100 mg tablet, 100

THIAMINE (4043T)

thiamine hydrochloride 100 mg tablet, 100
4043T
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
No restrictions
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: - Max safety net: - General Patient Charge: -
Available brands
Betavit DPMQ: $17.68 Max safety net: $7.70 General Patient Charge: $7.70