MOLNUPIRAVIR
molnupiravir 200 mg capsule, 40
MOLNUPIRAVIR (12910L)
12910L
Manner of administration:Oral
Restriction 16190
Indication: SARS-CoV-2 infection
Restriction 16191
Indication: SARS-CoV-2 infection
Restriction 16200
Indication: SARS-CoV-2 infection
Restriction 16201
Indication: SARS-CoV-2 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: 40 | # of repeats: 0 | DPMQ: $1,103.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Lagevrio | |||||