FEBUXOSTAT

FEBUXOSTAT (10445R)

febuxostat 80 mg tablet, 28
10445R
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 8921)

Indication: Chronic gout
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $51.65 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Adenuric
Febexic

FEBUXOSTAT (13519M)

febuxostat 80 mg tablet, 28
13519M
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14313)

Indication: Chronic gout
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 56 # of repeats: 5 DPMQ: $89.52 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Adenuric
Febexic