WARFARIN

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: $19.60 Max safety net: $21.14 General Patient Charge: $23.93
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: $18.95 Max safety net: $20.49 General Patient Charge: $23.28
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: $19.19 Max safety net: $20.73 General Patient Charge: $23.52
Available brands
Marevan