VALACICLOVIR

valaciclovir 500 mg tablet, 10

VALACICLOVIR (8133C)

valaciclovir 500 mg tablet, 10
8133C
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5960)

Indication: Initial moderate to severe genital herpes
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 20 # of repeats: 0 DPMQ: $22.84 Max safety net: $24.38 General Patient Charge: $25.00
Available brands
APX-Valaciclovir
VALACICLOVIR-WGR
Vaclovir
Valaciclovir Sandoz
Zelitrex
Valtrex
*Additional charge for this brand is $5.10
 DPMQ: $27.94 Max safety net: $24.38 General Patient Charge: $30.10