OLANZAPINE

olanzapine 405 mg modified release injection [1 vial] (&) inert substance diluent [3 mL vial], 1 pack

OLANZAPINE (9303P)

olanzapine 405 mg modified release injection [1 vial] (&) inert substance diluent [3 mL vial], 1 pack
9303P
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction  4246

Indication: Schizophrenia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $347.15 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zyprexa Relprevv