PREDNISOLONE ACETATE + PHENYLEPHRINE
prednisolone acetate 1% + phenylephrine hydrochloride 0.12% eye drops, 10 mL
Body System:
Manner of administration:Application To The Eye
Restriction
Indication: Severe eye inflammation
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: $24.45 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Prednefrin Forte | |||||
prednisolone acetate 1% + phenylephrine hydrochloride 0.12% eye drops, 10 mL
Body System:
Manner of administration:Application To The Eye
Restriction
Indication: Corneal grafts
Restriction
Indication: Uveitis
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: 2 | DPMQ: $24.45 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Prednefrin Forte | |||||
prednisolone acetate 1% + phenylephrine hydrochloride 0.12% eye drops, 10 mL
Body System:
Manner of administration:Application To The Eye
Restriction
Indication: Uveitis
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: $24.45 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Prednefrin Forte | |||||