VENLAFAXINE

VENLAFAXINE (14402B)

venlafaxine 150 mg modified release capsule, 28
14402B
Body System:
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: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Venlafaxine XR
BTC Venlafaxine XR
Elaxine SR 150
Enlafax-XR
Sandoz Venlafaxine XR
VENLAFAXINE XR-WGR
Venlafaxine generichealth XR
Efexor-XR
*Additional charge for this brand is $4.14
 DPMQ: $26.54 Max safety net: $23.88 General Patient Charge: $29.14

VENLAFAXINE (14472Q)

venlafaxine 75 mg modified release capsule, 28
14472Q
Body System:
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: $21.32 Max safety net: $22.80 General Patient Charge: $25.00
Available brands
APO-Venlafaxine XR
BTC Venlafaxine XR
Elaxine SR 75
Enlafax-XR
Sandoz Venlafaxine XR
VENLAFAXINE XR-WGR
Venlafaxine generichealth XR
Efexor-XR
*Additional charge for this brand is $4.30
 DPMQ: $25.62 Max safety net: $22.80 General Patient Charge: $29.30

VENLAFAXINE (8301X)

venlafaxine 75 mg modified release capsule, 28
8301X
Body System:
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: $17.55 Max safety net: $19.03 General Patient Charge: $21.82
Available brands
APO-Venlafaxine XR
BTC Venlafaxine XR
Elaxine SR 75
Enlafax-XR
Sandoz Venlafaxine XR
VENLAFAXINE XR-WGR
Venlafaxine generichealth XR
Efexor-XR
*Additional charge for this brand is $2.15
 DPMQ: $19.70 Max safety net: $19.03 General Patient Charge: $23.97

VENLAFAXINE (8302Y)

venlafaxine 150 mg modified release capsule, 28
8302Y
Body System:
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: $18.09 Max safety net: $19.57 General Patient Charge: $22.36
Available brands
APO-Venlafaxine XR
BTC Venlafaxine XR
Elaxine SR 150
Enlafax-XR
Sandoz Venlafaxine XR
VENLAFAXINE XR-WGR
Venlafaxine generichealth XR
Efexor-XR
*Additional charge for this brand is $2.07
 DPMQ: $20.16 Max safety net: $19.57 General Patient Charge: $24.43

VENLAFAXINE (8868R)

venlafaxine 37.5 mg modified release capsule, 28
8868R
Body System:
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: 0 DPMQ: $16.92 Max safety net: $18.40 General Patient Charge: $21.19
Available brands
Efexor-XR
Elaxine SR 37.5
VENLAFAXINE XR-WGR