QUETIAPINE
quetiapine 200 mg tablet, 60
QUETIAPINE (8458E)
8458E
Body System:
Manner of administration:Oral
Restriction 4246
Indication: Schizophrenia
Restriction 5611
Indication: Acute mania
Restriction 5869
Indication: Bipolar I disorder
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: 60 | # of repeats: 5 | DPMQ: $27.78 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $37.23 | Max safety net: $25.00 | General Patient Charge: $34.45 | ||
