METHYLPHENIDATE

METHYLPHENIDATE (15101T)

methylphenidate hydrochloride 20 mg modified release capsule, 30
15101T
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Attention deficit hyperactivity 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: $200.95 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ritalin LA 20 mg (Switzerland)

METHYLPHENIDATE (2276T)

methylphenidate hydrochloride 20 mg modified release capsule, 30
2276T
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Attention deficit hyperactivity 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: $46.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
ATTORA LA
Ritalin LA
Rubifen LA