OMEPRAZOLE

omeprazole 20 mg enteric tablet, 30

OMEPRAZOLE (9109K)

omeprazole 20 mg enteric tablet, 30
9109K
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 8775)

Indication: Peptic ulcer
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 1 DPMQ: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
Acimax Tablets
Omepral
Omeprazole Sandoz
Losec Tablets
*Additional charge for this brand is $7.15
 DPMQ: $25.24 Max safety net: $19.57 General Patient Charge: $29.51