VALPROATE

valproate sodium 200 mg enteric tablet, 100

VALPROATE (14017R)

valproate sodium 200 mg enteric tablet, 100
14017R
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 400 # of repeats: 2 DPMQ: $35.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Sodium Valproate
Sodium Valproate Sandoz
Valpro EC 200
Valproate Winthrop EC 200
Epilim EC
*Additional charge for this brand is $3.72
 DPMQ: $39.56 Max safety net: $25.00 General Patient Charge: $28.72