PANTOPRAZOLE
pantoprazole 20 mg enteric tablet, 30
PANTOPRAZOLE (8399C)
8399C
Manner of administration:Oral
Restriction
Indication: Gastro-oesophageal reflux disease
Restriction
Indication: Scleroderma oesophagus
Restriction
Indication: Zollinger-Ellison syndrome
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $16.50 | Max safety net: $17.98 | General Patient Charge: $20.77 |
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DPMQ: $21.45 | Max safety net: $17.98 | General Patient Charge: $25.72 | ||