NICOTINE
nicotine 21 mg/24 hours patch, 28
NICOTINE (5571F)
5571F
Body System:
Manner of administration:Transdermal
Restriction
Indication: Nicotine dependence
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: 2 | DPMQ: $51.67 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Nicotinell Step 1 | |||||