OXYCODONE

oxycodone hydrochloride 5 mg capsule, 20

OXYCODONE (5191F)

oxycodone hydrochloride 5 mg capsule, 20
5191F
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: 20 # of repeats: 0 DPMQ: $31.12 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
OxyNorm
Oxycodone BNM