NIRMATRELVIR (&) RITONAVIR

nirmatrelvir 150 mg tablet [4] (&) ritonavir 100 mg tablet [2], 5 x 6
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16155)

Indication: SARS-CoV-2 infection

Restriction (Streamlined authority code: 16223)

Indication: SARS-CoV-2 infection

Restriction (Streamlined authority code: 16192)

Indication: SARS-CoV-2 infection

Restriction (Streamlined authority code: 16156)

Indication: SARS-CoV-2 infection
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: 0 DPMQ: $1,115.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Paxlovid