SAXAGLIPTIN + DAPAGLIFLOZIN
saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28
SAXAGLIPTIN + DAPAGLIFLOZIN (13855F)
13855F
Manner of administration:Oral
Restriction
Indication: Diabetes mellitus type 2
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 56 | # of repeats: 5 | DPMQ: $141.64 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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