GABAPENTIN

gabapentin 600 mg tablet, 100

GABAPENTIN (8559L)

gabapentin 600 mg tablet, 100
8559L
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17445)

Indication: Focal onset seizures
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $34.39 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APX-GABAPENTIN
GAPENTIN
Pharmacor Gabapentin 600
Neurontin
*Additional charge for this brand is $2.20
 DPMQ: $36.59 Max safety net: $25.00 General Patient Charge: $27.20