TRIMETHOPRIM + SULFAMETHOXAZOLE

trimethoprim 160 mg + sulfamethoxazole 800 mg tablet, 10

TRIMETHOPRIM + SULFAMETHOXAZOLE (10784N)

trimethoprim 160 mg + sulfamethoxazole 800 mg tablet, 10
10784N
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction  6201

Indication: Prophylaxis of Pneumocystis jiroveci pneumonia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 30 # of repeats: 2 DPMQ: $21.87 Max safety net: $23.35 General Patient Charge: $25.00
Available brands
Bactrim DS
Resprim Forte
Septrin Forte
*Additional charge for this brand is $12.51
 DPMQ: $34.38 Max safety net: $23.35 General Patient Charge: $37.51