SERTRALINE

sertraline 100 mg tablet, 30

SERTRALINE (2237R)

sertraline 100 mg tablet, 30
2237R
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depressive disorders
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-Sertraline
Blooms The Chemist Sertraline
Eleva 100
SERTRALINE-WGR
Sertra 100
Sertraline Sandoz
Sertraline generichealth
Setrona
Zoloft
*Additional charge for this brand is $6.78
 DPMQ: $23.28 Max safety net: $17.98 General Patient Charge: $27.55