MIRTAZAPINE

mirtazapine 30 mg tablet, 30
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders
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: 2 DPMQ: $21.32 Max safety net: $22.80 General Patient Charge: $25.00
Available brands
APX-Mirtazapine
Axit 30
Blooms The Chemist Mirtazapine
MIRTANZA
MIRTAZAPINE-WGR
Mirtazapine Sandoz
Avanza
*Additional charge for this brand is $12.02
DPMQ: $33.34 Max safety net: $22.80 General Patient Charge: $37.02