GLECAPREVIR + PIBRENTASVIR
glecaprevir 100 mg + pibrentasvir 40 mg tablet, 84
GLECAPREVIR + PIBRENTASVIR (11353M)
11353M
Manner of administration:Oral
Restriction
Indication: Chronic hepatitis C infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 84 | # of repeats: 1 | DPMQ: $17,009.60 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Maviret | |||||