VALGANCICLOVIR
valganciclovir 450 mg tablet, 60
VALGANCICLOVIR (6357N)
6357N
Manner of administration:Oral
Restriction 15784
Indication: Cytomegalovirus infection and disease
Restriction 15782
Indication: Cytomegalovirus infection and disease
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 120 | # of repeats: 5 | DPMQ: $504.14 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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