OLANZAPINE

olanzapine 15 mg wafer, 28

OLANZAPINE (8952E)

olanzapine 15 mg wafer, 28
8952E
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction  4246

Indication: Schizophrenia

Restriction  5869

Indication: Bipolar I disorder
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: - Max safety net: - General Patient Charge: -
Available brands
Zyprexa Zydis
*Additional charge for this brand is $11.65
 DPMQ: $35.68 Max safety net: $25.00 General Patient Charge: $36.65