MIRTAZAPINE
Body System:
Manner of administration:Oral
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: 60 | # of repeats: 2 | DPMQ: $28.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| MIRTANZA ODT | |||||
Body System:
Manner of administration:Oral
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: 30 | # of repeats: 5 | DPMQ: $21.22 | Max safety net: $22.76 | General Patient Charge: $25.00 |
| Available brands | |||||
| MIRTANZA ODT | |||||