CITALOPRAM

citalopram 40 mg tablet, 28
Manner of administration:Oral
General Schedule
Restricted Benefit

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: 2 Max qty units: 56 # of repeats: 2 DPMQ: $19.30 Max safety net: $20.78 General Patient Charge: $23.57
Available brands
APO-Citalopram
CITALOPRAM-WGR
Celapram
Citalopram Sandoz
Talam
citalopram 40 mg tablet, 28
Manner of administration:Oral
General Schedule
Restricted Benefit

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: $16.54 Max safety net: $18.02 General Patient Charge: $20.81
Available brands
APO-Citalopram
CITALOPRAM-WGR
Celapram
Citalopram Sandoz
Talam