GRANISETRON

granisetron 2 mg tablet, 1

GRANISETRON (5898K)

granisetron 2 mg tablet, 1
5898K
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: 2 Max qty units: 2 # of repeats: 0 DPMQ: $16.58 Max safety net: $18.06 General Patient Charge: $18.06
Available brands
Kytril