ESOMEPRAZOLE
Manner of administration:Oral
Restriction (Streamlined authority code: 8780)
Indication: Scleroderma oesophagus
Restriction (Streamlined authority code: 8827)
Indication: Pathological hypersecretory conditions including Zollinger-Ellison syndrome and idiopathic
hypersecretion
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: $18.09 | Max safety net: $19.57 | General Patient Charge: $22.36 |
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DPMQ: $25.09 | Max safety net: $19.57 | General Patient Charge: $29.36 | ||