Hospital Formulary Status No
In-Hospital Cost will be updated
PharmaCare Formulary Status Yes (PO solid)
Special Authority None
PharmaCare Coverage 125mg PO - $0.6009/tab 250mg PO - $0.8144/tab 500mg PO - $1.4511/tab
Outpatient Cost 125mg PO - $0.65-0.73/tab 250mg PO - $0.83-0.92/tab 500mg PO - $1.49-3.09/tab
Very well tolerated, with a side effect profile similar to placebo and PO acyclovir
Gastritis (PO)
Neurotoxicity (PO)