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: $22.84 Max safety net: $24.38 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 $3.86
 DPMQ: $26.70 Max safety net: $24.38 General Patient Charge: $28.86

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: $21.84 Max safety net: $23.38 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 $4.00
 DPMQ: $25.84 Max safety net: $23.38 General Patient Charge: $29.00

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: $18.10 Max safety net: $19.64 General Patient Charge: $22.43
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 $2.00
 DPMQ: $20.10 Max safety net: $19.64 General Patient Charge: $24.43

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: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
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 $1.93
 DPMQ: $20.53 Max safety net: $20.14 General Patient Charge: $24.86

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: $17.32 Max safety net: $18.86 General Patient Charge: $21.65
Available brands
Efexor-XR
Elaxine SR 37.5
VENLAFAXINE XR-WGR