VALGANCICLOVIR

valganciclovir 450 mg tablet, 60

VALGANCICLOVIR (9569P)

valganciclovir 450 mg tablet, 60
9569P
Body System:
Manner of administration:Oral
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  15800

Indication: Cytomegalovirus infection and disease

Restriction  15814

Indication: Cytomegalovirus infection and disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 5 DPMQ: $476.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Valganciclovir Sandoz
Valganciclovir Viatris