DAPAGLIFLOZIN

dapagliflozin 10 mg tablet, 28

DAPAGLIFLOZIN (10011X)

dapagliflozin 10 mg tablet, 28
10011X
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16220)

Indication: Diabetes mellitus type 2

Restriction (Streamlined authority code: 15311)

Indication: Diabetes mellitus type 2
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: 5 DPMQ: $52.95 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Forxiga