OXYCODONE

oxycodone hydrochloride 1 mg/mL oral liquid, 250 mL

OXYCODONE (5190E)

oxycodone hydrochloride 1 mg/mL oral liquid, 250 mL
5190E
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 250 # of repeats: 0 DPMQ: $32.53 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
OxyNorm Liquid 1mg/mL