ESCITALOPRAM
escitalopram 20 mg tablet, 28
ESCITALOPRAM (8701Y)
8701Y
Body System:
Manner of administration:Oral
Restriction
Indication: Major depressive disorders
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: 28 | # of repeats: 5 | DPMQ: $16.50 | Max safety net: $17.98 | General Patient Charge: $20.77 |
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DPMQ: $31.03 | Max safety net: $17.98 | General Patient Charge: $35.30 | ||