METHADONE
methadone hydrochloride 5 mg/mL oral liquid, 200 mL
METHADONE (5399E)
5399E
Body System:
Manner of administration:Oral
Restriction
Indication: Chronic severe disabling pain
Treatment phase: Initial treatment, for up to 3 months
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 200 | # of repeats: 2 | DPMQ: $27.79 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Aspen Methadone Syrup | |||||