ATAZANAVIR

atazanavir 200 mg capsule, 60

ATAZANAVIR (10349Q)

Supply only until 01/07/2026
atazanavir 200 mg capsule, 60
10349Q
Body System:
Manner of administration:Oral
S100 HSD Community Access
Authority Required (STREAMLINED)

Restriction  4512

Indication: HIV infection
Treatment phase: Initial

Restriction  4454

Indication: HIV infection
Treatment phase: Continuing
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 5 DPMQ: $842.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Reyataz