NYSTATIN

NYSTATIN (10854G)

nystatin 100 000 units/mL oral liquid, 24 mL
10854G
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mycostatin Oral Drops DPMQ: $21.85 Max safety net: $7.70 General Patient Charge: $7.70
Pharmacy Action Nystatin Oral Drops DPMQ: $20.65 Max safety net: $7.70 General Patient Charge: $7.70
Trust Nystatin Oral Drops DPMQ: $20.65 Max safety net: $7.70 General Patient Charge: $7.70

NYSTATIN (1696G)

nystatin 500 000 units tablet, 50
1696G
Body System:
Manner of administration:Oral
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: 50 # of repeats: 0 DPMQ: $23.26 Max safety net: $24.80 General Patient Charge: $25.00
Available brands
Nilstat

NYSTATIN (1699K)

nystatin 500 000 units capsule, 50
1699K
Body System:
Manner of administration:Oral
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: 50 # of repeats: 0 DPMQ: $23.26 Max safety net: $24.80 General Patient Charge: $25.00
Available brands
Nilstat

NYSTATIN (3342X)

nystatin 500 000 units tablet, 50
3342X
Body System:
Manner of administration:Oral
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: 50 # of repeats: 0 DPMQ: $23.26 Max safety net: $24.80 General Patient Charge: $25.00
Available brands
Nilstat

NYSTATIN (3345C)

nystatin 500 000 units capsule, 50
3345C
Body System:
Manner of administration:Oral
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: 50 # of repeats: 0 DPMQ: $23.26 Max safety net: $24.80 General Patient Charge: $25.00
Available brands
Nilstat

NYSTATIN (4013F)

nystatin 20 000 units/g vaginal cream, 75 g
4013F
Body System:
Manner of administration:Vaginal
Repatriation Pharmaceutical Benefits
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Nilstat DPMQ: $20.58 Max safety net: $7.70 General Patient Charge: $7.70