DAPAGLIFLOZIN
dapagliflozin 10 mg tablet, 28
DAPAGLIFLOZIN (15257B)
15257B
Manner of administration:Oral
Restriction 18623
Indication: Chronic kidney 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: 56 | # of repeats: 5 | DPMQ: $92.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Forxiga | |||||