CLOMIPRAMINE

Body System:

Manner of administration:Oral

General Schedule

Restricted Benefit

Indication: Cataplexy

Indication: Obsessive-compulsive disorder

Indication: Phobic disorders

Quantities & Cost

Max qty packs	Max qty units	# of repeats	DPMQ	Max safety net	General Patient Charge
Max qty packs: 1	Max qty units: 50	# of repeats: 2	DPMQ: $18.85	Max safety net: $20.33	General Patient Charge: $23.12
Available brands
APO-Clomipramine
CLOMIPRAMINE-WGR
Placil
Anafranil 25 *Additional charge for this brand is $3.66			DPMQ: $22.51	Max safety net: $20.33	General Patient Charge: $26.78

CLOMIPRAMINE (1561E)