OXYCODONE
oxycodone hydrochloride 30 mg modified release tablet, 28
OXYCODONE (12538X)
12538X
Body System:
Manner of administration:Oral
Restriction
Indication: Severe disabling pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 56 | # of repeats: 0 | DPMQ: $84.94 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| OxyContin | |||||