OXYCODONE
oxycodone hydrochloride 10 mg capsule, 20
OXYCODONE (5197M)
5197M
Body System:
Manner of administration:Oral
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: $25.74 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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