ESOMEPRAZOLE

esomeprazole 20 mg enteric tablet, 30

ESOMEPRAZOLE (8886Q)

esomeprazole 20 mg enteric tablet, 30
8886Q
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 8775)

Indication: Peptic ulcer
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 1 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Esomeprazole
ESOMEPRAZOLE-WGR
Esomeprazole GH
Esomeprazole GxP
Esomeprazole RBX
Esomeprazole Viatris
Esopreze
Nexazole
Nexole
Nexium
*Additional charge for this brand is $6.72
 DPMQ: $25.32 Max safety net: $20.14 General Patient Charge: $29.65