ESOMEPRAZOLE

General Schedule
Authority Required

Restriction

Indication: Pathological hypersecretory conditions including Zollinger-Ellison syndrome and idiopathic hypersecretion

Restriction

Indication: Scleroderma oesophagus
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: $28.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Esomeprazole
ESOMEPRAZOLE-WGR
Esomeprazole GH
Esomeprazole GxP
Esomeprazole RBX
Esomeprazole Viatris
Esopreze
Nexazole
Nexole
Nexium
*Additional charge for this brand is $14.00
DPMQ: $42.40 Max safety net: $25.00 General Patient Charge: $39.00