ZIPRASIDONE
ziprasidone 80 mg capsule, 60
ZIPRASIDONE (9073M)
9073M
Body System:
Manner of administration:Oral
Restriction 4246
Indication: Schizophrenia
Restriction 5742
Indication: Acute mania or mixed episodes
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: $132.95 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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