LEVETIRACETAM
levetiracetam 250 mg tablet, 60
LEVETIRACETAM (8654L)
8654L
Body System:
Manner of administration:Oral
Restriction
Indication: Epileptic seizures
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 60 | # of repeats: 5 | DPMQ: $21.51 | Max safety net: $22.99 | General Patient Charge: $25.00 |
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