TENOFOVIR DISOPROXIL + EMTRICITABINE
tenofovir disoproxil succinate 301 mg + emtricitabine 200 mg tablet, 30
TENOFOVIR DISOPROXIL + EMTRICITABINE (12542D)
12542D
Manner of administration:Oral
Restriction
Indication: Pre-exposure prophylaxis (PrEP) against human immunodeficiency virus (HIV) 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: 30 | # of repeats: 5 | DPMQ: $35.29 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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