RABEPRAZOLE
Manner of administration:Oral
Restriction
Indication: Gastro-oesophageal reflux disease
Restriction
Indication: Scleroderma oesophagus
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 56 | # of repeats: 5 | DPMQ: $21.50 | Max safety net: $23.04 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction
Indication: Gastro-oesophageal reflux disease
Restriction
Indication: Scleroderma oesophagus
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: $17.93 | Max safety net: $19.47 | General Patient Charge: $22.26 |
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