GABAPENTIN

gabapentin 100 mg capsule, 100

GABAPENTIN (4591P)

gabapentin 100 mg capsule, 100
4591P
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Refractory neuropathic pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
APX-Gabapentin DPMQ: $17.96 Max safety net: $7.70 General Patient Charge: $7.70
Gabacor DPMQ: $17.96 Max safety net: $7.70 General Patient Charge: $7.70
Neurontin DPMQ: $20.16 Max safety net: $7.70 General Patient Charge: $7.70
Nupentin 100 DPMQ: $17.96 Max safety net: $7.70 General Patient Charge: $7.70