LANSOPRAZOLE

lansoprazole 30 mg orally disintegrating tablet, 28

LANSOPRAZOLE (9477T)

lansoprazole 30 mg orally disintegrating tablet, 28
9477T
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 8775)

Indication: Peptic ulcer
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 8774)

Indication: Gastro-oesophageal reflux disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 1 DPMQ: $18.60 Max safety net: $20.14 General Patient Charge: $22.93
Available brands
APO-Lansoprazole ODT
Lansoprazole ODT GH
Zopral ODT
Zoton FasTabs
*Additional charge for this brand is $4.47
 DPMQ: $23.07 Max safety net: $20.14 General Patient Charge: $27.40