MIANSERIN

MIANSERIN (14505K)

mianserin hydrochloride 20 mg tablet, 50
14505K
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe depression
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 100 # of repeats: 2 DPMQ: $46.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lumin 20

MIANSERIN (1628Q)

mianserin hydrochloride 20 mg tablet, 50
1628Q
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe depression
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: 5 DPMQ: $30.24 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lumin 20