NAPROXEN

General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4159)

Indication: Chronic arthropathies (including osteoarthritis)

Restriction (Streamlined authority code: 4124)

Indication: Bone pain
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: 3 DPMQ: $124.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phebra Naproxen Suspension
Palliative Care
Restricted Benefit

Restriction

Indication: Severe pain
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: 3 DPMQ: $124.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phebra Naproxen Suspension