PRAMIPEXOLE

pramipexole dihydrochloride monohydrate 1 mg tablet, 100

PRAMIPEXOLE (14532W)

pramipexole dihydrochloride monohydrate 1 mg tablet, 100
14532W
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Parkinson disease
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: 5 DPMQ: $144.26 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Pramipexole
Sifrol
Simipex 1
Simpral