FLUCLOXACILLIN
Manner of administration:Oral
Restriction (Streamlined authority code: 17381)
Indication: Osteomyelitis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 48 | # of repeats: 1 | DPMQ: $31.18 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 24 | # of repeats: 0 | DPMQ: $18.06 | Max safety net: $19.54 | General Patient Charge: $22.33 |
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Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 24 | # of repeats: 0 | DPMQ: $22.48 | Max safety net: $23.96 | General Patient Charge: $25.00 |
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Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 24 | # of repeats: 0 | DPMQ: $18.06 | Max safety net: $19.54 | General Patient Charge: $22.33 |
| Available brands | |||||
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Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 24 | # of repeats: 0 | DPMQ: $22.48 | Max safety net: $23.96 | General Patient Charge: $25.00 |
| Available brands | |||||
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Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
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: $23.89 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Flucil | |||||
Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
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: $26.73 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Flucil | |||||
Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
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: 1 | DPMQ: $23.89 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Flucil | |||||
Manner of administration:Oral
Restriction
Indication: Serious staphylococcal infection
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: 1 | DPMQ: $26.73 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Flucil | |||||
