AMIODARONE

amiodarone hydrochloride 200 mg tablet, 30
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe cardiac arrhythmias
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: $18.20 Max safety net: $19.68 General Patient Charge: $22.47
Available brands
Amdarone
Amiodarone Sandoz
Aratac 200
Cordarone X 200