TENOFOVIR DISOPROXIL + EMTRICITABINE + EFAVIRENZ

TENOFOVIR DISOPROXIL + EMTRICITABINE + EFAVIRENZ (11732L)

tenofovir disoproxil maleate 300 mg + emtricitabine 200 mg + efavirenz 600 mg tablet, 30
11732L
Body System:
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4522)

Indication: HIV infection
Treatment phase: Initial

Restriction (Streamlined authority code: 4470)

Indication: HIV infection
Treatment phase: Continuing
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: $291.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tenofovir Disoproxil Emtricitabine Efavirenz Viatris 300/200/600

TENOFOVIR DISOPROXIL + EMTRICITABINE + EFAVIRENZ (15231P)

tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + efavirenz 600 mg tablet, 30
15231P
Body System:
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4522)

Indication: HIV infection
Treatment phase: Initial

Restriction (Streamlined authority code: 4470)

Indication: HIV infection
Treatment phase: Continuing
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: $291.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate Tablet 600 mg/200 mg/300 mg (Camber, USA)