ESOMEPRAZOLE

General Schedule
Authority Required

Restriction

Indication: Pathological hypersecretory conditions including Zollinger-Ellison syndrome and idiopathic hypersecretion

Restriction

Indication: Scleroderma oesophagus
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: $21.09 Max safety net: $22.57 General Patient Charge: $25.00
Available brands
APO-Esomeprazole
ESOMEPRAZOLE-WGR
Esomeprazole GH
Esomeprazole GxP
Esomeprazole RBX
Esomeprazole Viatris
Esopreze
Nexazole
Nexole
Nexium
*Additional charge for this brand is $7.00
DPMQ: $28.09 Max safety net: $22.57 General Patient Charge: $32.00