OLANZAPINE

olanzapine 2.5 mg tablet, 28

OLANZAPINE (8170B)

olanzapine 2.5 mg tablet, 28
8170B
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction  4246

Indication: Schizophrenia

Restriction  5869

Indication: Bipolar I disorder
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $17.28 Max safety net: $18.76 General Patient Charge: $21.55
Available brands
APO-OLANZAPINE
Olanzapine RBX
Olanzapine Sandoz
Ozin 2.5
PRYZEX
Zypine
Zyprexa
*Additional charge for this brand is $7.83
 DPMQ: $25.11 Max safety net: $18.76 General Patient Charge: $29.38