VILDAGLIPTIN
Manner of administration:Oral
Restriction (Streamlined authority code: 15287)
Indication: Diabetes mellitus type 2
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 120 | # of repeats: 5 | DPMQ: $68.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Galvus | |||||
Manner of administration:Oral
Restriction (Streamlined authority code: 15261)
Indication: Diabetes mellitus type 2
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 60 | # of repeats: 5 | DPMQ: $41.23 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Galvus | |||||