ZIDOVUDINE

zidovudine 250 mg capsule, 40
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4512)

Indication: HIV infection
Treatment phase: Initial

Restriction (Streamlined authority code: 4454)

Indication: HIV infection
Treatment phase: Continuing
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 240 # of repeats: 5 DPMQ: $818.88 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Retrovir