RASAGILINE
rasagiline 1 mg tablet, 30
RASAGILINE (14458Y)
14458Y
Body System:
Manner of administration:Oral
Restriction
Indication: Parkinson disease
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $45.14 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $49.14 | Max safety net: $25.00 | General Patient Charge: $29.00 | ||