ONDANSETRON
Manner of administration:Oral
Restriction
Indication: Nausea and vomiting
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 4 | # of repeats: 0 | DPMQ: $18.93 | Max safety net: $20.47 | General Patient Charge: $23.26 |
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Manner of administration:Oral
Restriction (Streamlined authority code: 15193)
Indication: Nausea and vomiting
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 10 | # of repeats: 1 | DPMQ: $23.49 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction (Streamlined authority code: 15193)
Indication: Nausea and vomiting
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 10 | # of repeats: 1 | DPMQ: $25.66 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction
Indication: Nausea and vomiting
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 4 | # of repeats: 0 | DPMQ: $4.33 | Max safety net: $5.87 | General Patient Charge: $5.87 |
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