PANTOPRAZOLE
pantoprazole 40 mg enteric tablet, 30
PANTOPRAZOLE (8008L)
8008L
Manner of administration:Oral
Restriction (Streamlined authority code: 8780)
Indication: Scleroderma oesophagus
Restriction (Streamlined authority code: 8866)
Indication: Zollinger-Ellison syndrome
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $17.47 | Max safety net: $19.01 | General Patient Charge: $21.80 |
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DPMQ: $22.16 | Max safety net: $19.01 | General Patient Charge: $26.49 | ||