ASENAPINE

asenapine 10 mg sublingual wafer, 60
Manner of administration:Sublingual
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4246)

Indication: Schizophrenia

Restriction (Streamlined authority code: 5773)

Indication: Acute mania or mixed episodes

Restriction (Streamlined authority code: 5719)

Indication: Bipolar I disorder
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: $225.12 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Saphris