OLANZAPINE

OLANZAPINE (8434X)

olanzapine 10 mg wafer, 28
8434X
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4246)

Indication: Schizophrenia

Restriction (Streamlined authority code: 5869)

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: 28 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Zyprexa Zydis
*Additional charge for this brand is $9.95
 DPMQ: $30.56 Max safety net: $22.09 General Patient Charge: $34.83