NALOXONE

NALOXONE (10783M)

naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules
10783M
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $31.23 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
NALOXONE SXP
Naloxone Hydrochloride (DBL)
Naloxone Juno

NALOXONE (10786Q)

naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules
10786Q
Body System:
Manner of administration:Injection
Prescriber Bag
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 10 # of repeats: 0 DPMQ: $48.68 Max safety net: $0.00 General Patient Charge: Nil
Available brands
NALOXONE SXP
Naloxone Hydrochloride (DBL)
Naloxone Juno

NALOXONE (10787R)

naloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules
10787R
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 5 # of repeats: 0 DPMQ: $31.23 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
NALOXONE SXP
Naloxone Hydrochloride (DBL)
Naloxone Juno

NALOXONE (11077B)

naloxone hydrochloride 1 mg/mL injection, 2 mL syringe
11077B
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $69.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Prenoxad

NALOXONE (11078C)

naloxone hydrochloride 1 mg/mL injection, 2 mL syringe
11078C
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $69.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Prenoxad

NALOXONE (11233F)

naloxone hydrochloride 400 microgram/mL injection, 10 x 1 mL ampoules
11233F
Body System:
Manner of administration:Injection
Prescriber Bag
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $48.67 Max safety net: $0.00 General Patient Charge: Nil
Available brands
NARCAN

NALOXONE (11816X)

naloxone 1.8 mg/actuation nasal spray, 2 x 1 actuation
11816X
Body System:
Manner of administration:Nasal
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $66.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nyxoid

NALOXONE (11817Y)

naloxone 1.8 mg/actuation nasal spray, 2 x 1 actuation
11817Y
Body System:
Manner of administration:Nasal
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $66.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nyxoid