ESCITALOPRAM

ESCITALOPRAM (10181W)

escitalopram 20 mg/mL oral liquid, 15 mL
10181W
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders

Restriction

Indication: Moderate to severe generalised anxiety disorder (GAD)

Restriction

Indication: Moderate to severe generalised anxiety disorder (GAD)

Restriction

Indication: Moderate to severe social anxiety disorder (social phobia, SAD)

Restriction

Indication: Moderate to severe social anxiety disorder (social phobia, SAD)
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: $39.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lexapro

ESCITALOPRAM (14546N)

escitalopram 20 mg/mL oral liquid, 15 mL
14546N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders

Restriction

Indication: Moderate to severe generalised anxiety disorder (GAD)

Restriction

Indication: Moderate to severe generalised anxiety disorder (GAD)

Restriction

Indication: Moderate to severe social anxiety disorder (social phobia, SAD)

Restriction

Indication: Moderate to severe social anxiety disorder (social phobia, SAD)
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 2 DPMQ: $65.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lexapro