PANTOPRAZOLE
Manner of administration:Oral
Restriction (Streamlined authority code: 8780)
Indication: Scleroderma oesophagus
Restriction (Streamlined authority code: 8866)
Indication: Zollinger-Ellison syndrome
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: $16.88 | Max safety net: $18.36 | General Patient Charge: $21.15 |
| Available brands | |||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
|||||
|
|
DPMQ: $21.83 | Max safety net: $18.36 | General Patient Charge: $26.10 | ||