VALPROATE
Body System:
Manner of administration:Oral
Restriction
Indication: The condition must be stable for the prescriber to consider the listed maximum quantity
of this medicine suitable for this patient.
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 400 | # of repeats: 2 | DPMQ: $55.88 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $59.40 | Max safety net: $25.00 | General Patient Charge: $28.52 | ||
Body System:
Manner of administration:Oral
Restriction
Indication: The condition must be stable for the prescriber to consider the listed maximum quantity
of this medicine suitable for this patient.
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 400 | # of repeats: 2 | DPMQ: $35.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $39.36 | Max safety net: $25.00 | General Patient Charge: $28.56 | ||
Body System:
Manner of administration:Oral
Restriction
Indication: For prescribing by certain health practitioners
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 200 | # of repeats: 2 | DPMQ: $25.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $26.86 | Max safety net: $25.00 | General Patient Charge: $26.78 | ||
Body System:
Manner of administration:Oral
Restriction
Indication: For prescribing by certain health practitioners
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 200 | # of repeats: 2 | DPMQ: $35.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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DPMQ: $36.88 | Max safety net: $25.00 | General Patient Charge: $26.76 | ||
