IMIPRAMINE

IMIPRAMINE (12113M)

imipramine hydrochloride 25 mg tablet, 100
12113M
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 0.5 Max qty units: 50 # of repeats: 2 DPMQ: $27.96 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Imipramine (Leading)

IMIPRAMINE (2420J)

imipramine hydrochloride 10 mg tablet, 50
2420J
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 50 # of repeats: 2 DPMQ: $18.17 Max safety net: $19.65 General Patient Charge: $22.44
Available brands
Tofranil 10

IMIPRAMINE (2421K)

imipramine hydrochloride 25 mg tablet, 50
2421K
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 50 # of repeats: 2 DPMQ: $21.43 Max safety net: $22.91 General Patient Charge: $25.00
Available brands
Tofranil 25