MONTELUKAST
Manner of administration:Oral
Restriction (Streamlined authority code: 15642)
Indication: Asthma
Treatment phase: First-line prevention
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: $23.02 | Max safety net: $24.56 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction (Streamlined authority code: 6666)
Indication: Asthma
Treatment phase: First-line prevention
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: $18.69 | Max safety net: $20.23 | General Patient Charge: $23.02 |
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