GLECAPREVIR + PIBRENTASVIR

glecaprevir 100 mg + pibrentasvir 40 mg tablet, 84

GLECAPREVIR + PIBRENTASVIR (11354N)

glecaprevir 100 mg + pibrentasvir 40 mg tablet, 84
11354N
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic hepatitis C infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 84 # of repeats: 2 DPMQ: $17,009.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Maviret