VENLAFAXINE
Body System:
Manner of administration:Oral
Restriction
Indication: Major depressive disorders
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 56 | # of repeats: 2 | DPMQ: $21.84 | Max safety net: $23.38 | General Patient Charge: $25.00 |
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DPMQ: $25.84 | Max safety net: $23.38 | General Patient Charge: $29.00 | ||
Body System:
Manner of administration:Oral
Restriction
Indication: Major depressive disorders
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $18.10 | Max safety net: $19.64 | General Patient Charge: $22.43 |
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DPMQ: $20.10 | Max safety net: $19.64 | General Patient Charge: $24.43 | ||