HYDROCORTISONE ACETATE

HYDROCORTISONE ACETATE (2441L)

hydrocortisone acetate 1% eye ointment, 5 g
2441L
Body System:
Manner of administration:Application To The Eye
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: 1 # of repeats: 0 DPMQ: $19.27 Max safety net: $20.75 General Patient Charge: $23.54
Available brands
Hycor

HYDROCORTISONE ACETATE (5516H)

hydrocortisone acetate 1% eye ointment, 5 g
5516H
Body System:
Manner of administration:Application To The Eye
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: 1 # of repeats: 0 DPMQ: $19.27 Max safety net: $20.75 General Patient Charge: $23.54
Available brands
Hycor