THIAMINE

thiamine hydrochloride 100 mg tablet, 100

THIAMINE (13354W)

thiamine hydrochloride 100 mg tablet, 100
13354W
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction  14319

Indication: Thiamine deficiency
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 2 DPMQ: $21.58 Max safety net: $23.06 General Patient Charge: $25.00
Available brands
Betavit