OLANZAPINE
olanzapine 10 mg orally disintegrating tablet, 28
OLANZAPINE (3382B)
3382B
Body System:
Manner of administration:Oral
Restriction 4246
Indication: Schizophrenia
Restriction 5869
Indication: Bipolar I disorder
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $20.61 | Max safety net: $22.09 | General Patient Charge: $24.88 |
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