OXAZEPAM

oxazepam 30 mg tablet, 25

OXAZEPAM (3135B)

oxazepam 30 mg tablet, 25
3135B
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Malignant neoplasia (late stage)

Restriction

Indication: Anxiety

Restriction

Indication: Anxiety
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 50 # of repeats: 5 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
APO-Oxazepam
Alepam 30
OXAZEPAM-WGR
Murelax
*Additional charge for this brand is $1.60
 DPMQ: $21.44 Max safety net: $21.38 General Patient Charge: $25.77
Serepax
*Additional charge for this brand is $7.40
 DPMQ: $27.24 Max safety net: $21.38 General Patient Charge: $31.57