AMOXICILLIN

AMOXICILLIN (11947T)

amoxicillin 500 mg capsule, 20
11947T
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10402)

Indication: Infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 40 # of repeats: 0 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
AMILOXYN
AMOXICILLIN-WGR
APO-Amoxycillin
Alphamox 500
Amoxycillin Sandoz
Amoxycillin generichealth 500
Blooms The Chemist Amoxicillin
Cilamox
Amoxil
*Additional charge for this brand is $9.34
 DPMQ: $28.56 Max safety net: $20.70 General Patient Charge: $32.83

AMOXICILLIN (12002Q)

amoxicillin 1 g tablet, 14
12002Q
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10416)

Indication: Community acquired pneumonia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 14 # of repeats: 1 DPMQ: $16.70 Max safety net: $18.18 General Patient Charge: $20.97
Available brands
Amoxycillin Sandoz
Maxamox
*Additional charge for this brand is $1.00
 DPMQ: $17.70 Max safety net: $18.18 General Patient Charge: $21.97

AMOXICILLIN (1889K)

amoxicillin 500 mg capsule, 20
1889K
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: 20 # of repeats: 0 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
AMILOXYN
AMOXICILLIN-WGR
APO-Amoxycillin
Alphamox 500
Amoxycillin Sandoz
Amoxycillin generichealth 500
Blooms The Chemist Amoxicillin
Cilamox
Amoxil
*Additional charge for this brand is $4.67
 DPMQ: $21.17 Max safety net: $17.98 General Patient Charge: $25.44

AMOXICILLIN (3300Q)

amoxicillin 500 mg capsule, 20
3300Q
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: 20 # of repeats: 0 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
AMILOXYN
AMOXICILLIN-WGR
APO-Amoxycillin
Alphamox 500
Amoxycillin Sandoz
Amoxycillin generichealth 500
Blooms The Chemist Amoxicillin
Cilamox
Amoxil
*Additional charge for this brand is $4.67
 DPMQ: $21.17 Max safety net: $17.98 General Patient Charge: $25.44

AMOXICILLIN (8581P)

amoxicillin 1 g tablet, 14
8581P
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Chronic bronchitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 14 # of repeats: 1 DPMQ: $16.70 Max safety net: $18.18 General Patient Charge: $20.97
Available brands
Amoxycillin Sandoz
Maxamox
*Additional charge for this brand is $1.00
 DPMQ: $17.70 Max safety net: $18.18 General Patient Charge: $21.97