PAROXETINE

PAROXETINE (14367E)

paroxetine 20 mg tablet, 30
14367E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders

Restriction

Indication: Obsessive-compulsive disorder

Restriction

Indication: Panic disorder
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-Paroxetine
Blooms The Chemist Paroxetine
Extine 20
PAROXETINE-WGR
Paroxetine GH
Paroxetine Sandoz
Paxtine
Aropax
*Additional charge for this brand is $5.16
 DPMQ: $26.48 Max safety net: $22.80 General Patient Charge: $30.16

PAROXETINE (2242B)

paroxetine 20 mg tablet, 30
2242B
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders

Restriction

Indication: Obsessive-compulsive disorder

Restriction

Indication: Panic disorder
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $17.55 Max safety net: $19.03 General Patient Charge: $21.82
Available brands
APX-Paroxetine
Blooms The Chemist Paroxetine
Extine 20
PAROXETINE-WGR
Paroxetine GH
Paroxetine Sandoz
Paxtine
Aropax
*Additional charge for this brand is $2.58
 DPMQ: $20.13 Max safety net: $19.03 General Patient Charge: $24.40