PREGABALIN
pregabalin 300 mg capsule, 56
PREGABALIN (2363J)
2363J
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 4172)
Indication: Neuropathic pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 56 | # of repeats: 5 | DPMQ: $23.59 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $25.20 | Max safety net: $25.00 | General Patient Charge: $26.61 | ||