DICLOFENAC

diclofenac sodium 25 mg enteric tablet, 50

DICLOFENAC (5076E)

diclofenac sodium 25 mg enteric tablet, 50
5076E
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 100 # of repeats: 0 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
Clonac 25
DICLOFENAC-WGR
Diclofenac Sandoz
Fenac EC
Voltaren 25
*Additional charge for this brand is $9.44
 DPMQ: $29.28 Max safety net: $21.38 General Patient Charge: $33.61