CITALOPRAM

citalopram 20 mg tablet, 28
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: 56 # of repeats: 2 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
APO-Citalopram
APX-Citalopram
CITALOPRAM-WGR
Celapram
Citalopram Sandoz
Talam
Cipramil
*Additional charge for this brand is $26.30
DPMQ: $45.52 Max safety net: $20.70 General Patient Charge: $49.79