ESCITALOPRAM

escitalopram 10 mg tablet, 28

ESCITALOPRAM (8700X)

escitalopram 10 mg tablet, 28
8700X
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-Escitalopram
APX-Escitalopram
Blooms Escitalopram
Cilopam-S
ESCIT
ESCITALOPRAM-WGR
Escitalopram GH
Escitalopram Sandoz
Lexam 10
LoxaLate
Lexapro
*Additional charge for this brand is $14.18
DPMQ: $30.68 Max safety net: $17.98 General Patient Charge: $34.95