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: $21.84 Max safety net: $23.38 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 $4.82
 DPMQ: $26.66 Max safety net: $23.38 General Patient Charge: $29.82

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: $18.10 Max safety net: $19.64 General Patient Charge: $22.43
Available brands
APX-Paroxetine
Blooms The Chemist Paroxetine
Extine 20
PAROXETINE-WGR
Paroxetine GH
Paroxetine Sandoz
Paxtine
Aropax
*Additional charge for this brand is $2.41
 DPMQ: $20.51 Max safety net: $19.64 General Patient Charge: $24.84