AZATHIOPRINE

AZATHIOPRINE (2687K)

azathioprine 50 mg tablet, 100
2687K
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: 100 # of repeats: 5 DPMQ: $28.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Azathioprine
AZATHIOPRINE-WGR
Azapin
Azathioprine Sandoz
Imazan
Thioprine 50
Imuran
*Additional charge for this brand is $5.82
 DPMQ: $34.04 Max safety net: $25.00 General Patient Charge: $30.82

AZATHIOPRINE (2688L)

azathioprine 25 mg tablet, 100
2688L
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: 100 # of repeats: 5 DPMQ: $22.50 Max safety net: $24.04 General Patient Charge: $25.00
Available brands
APO-Azathioprine
AZATHIOPRINE-WGR
Azathioprine Sandoz
Imuran
*Additional charge for this brand is $5.82
 DPMQ: $28.32 Max safety net: $24.04 General Patient Charge: $30.82