ONDANSETRON

ondansetron 8 mg orally disintegrating tablet, 4

ONDANSETRON (5858H)

ondansetron 8 mg orally disintegrating tablet, 4
5858H
Manner of administration:Oral
Section 100 (CT)
Restricted Benefit

Restriction

Indication: Nausea and vomiting
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 4 # of repeats: 0 DPMQ: $4.33 Max safety net: $5.81 General Patient Charge: $5.81
Available brands
APX-Ondansetron ODT
ONDANSETRON ODT-WGR
Ondansetron ODT Viatris
Ondansetron ODT-DRLA
Ondansetron SZ ODT
Zotren ODT