PREDNISOLONE SODIUM PHOSPHATE

General Schedule
Restricted Benefit

Restriction

Indication: Proctitis

Restriction

Indication: Ulcerative colitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 3 # of repeats: 3 DPMQ: $41.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Predsol