URSODEOXYCHOLIC ACID
ursodeoxycholic acid 250 mg capsule, 100
URSODEOXYCHOLIC ACID (8448P)
8448P
Body System:
Manner of administration:Oral
Restriction 16558
Indication: Primary biliary cholangitis (previously known as Primary biliary cirrhosis)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 200 | # of repeats: 4 | DPMQ: $228.10 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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