WARFARIN

WARFARIN (2209G)

warfarin sodium 2 mg tablet, 50
2209G
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: $18.73 Max safety net: $20.21 General Patient Charge: $23.00
Available brands
Coumadin

WARFARIN (2211J)

warfarin sodium 5 mg tablet, 50
2211J
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: $19.20 Max safety net: $20.68 General Patient Charge: $23.47
Available brands
Coumadin
Marevan

WARFARIN (2843P)

warfarin sodium 1 mg tablet, 50
2843P
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: $18.55 Max safety net: $20.03 General Patient Charge: $22.82
Available brands
Coumadin
Marevan

WARFARIN (2844Q)

warfarin sodium 3 mg tablet, 50
2844Q
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: $18.79 Max safety net: $20.27 General Patient Charge: $23.06
Available brands
Marevan