BISACODYL
Body System:
Manner of administration:Rectal
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 3 | # of repeats: 4 | DPMQ: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| Petrus Bisacodyl Suppositories | DPMQ: $25.08 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||
Body System:
Manner of administration:Rectal
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Terminal malignant neoplasia
Restriction
Indication: Anorectal congenital abnormalities
Restriction
Indication: Megacolon
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 3 | # of repeats: 4 | DPMQ: $25.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Petrus Bisacodyl Suppositories | |||||
Body System:
Manner of administration:Rectal
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Constipation
Restriction
Indication: Terminal malignant neoplasia
Restriction
Indication: Anorectal congenital abnormalities
Restriction
Indication: Megacolon
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 6 | Max qty units: 6 | # of repeats: 4 | DPMQ: $36.36 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Petrus Bisacodyl Suppositories | |||||
Body System:
Manner of administration:Rectal
Restriction
Indication: The condition must be stable for the prescriber to consider the listed maximum quantity
of this medicine suitable for this patient.
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 6 | Max qty units: 6 | # of repeats: 4 | DPMQ: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| Petrus Bisacodyl Suppositories | DPMQ: $36.36 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||