OPICAPONE

opicapone 50 mg capsule, 30
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $152.02 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ongentys
opicapone 50 mg capsule, 30
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Parkinson 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: 60 # of repeats: 5 DPMQ: $295.26 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ongentys