FRAMYCETIN SULFATE + GRAMICIDIN + DEXAMETHASONE

FRAMYCETIN SULFATE + GRAMICIDIN + DEXAMETHASONE (2781J)

framycetin sulfate 0.5% + gramicidin 0.005% + dexamethasone 0.05% ear drops, 8 mL
2781J
Body System:
Manner of administration:Application To The Ear
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: 2 DPMQ: $17.55 Max safety net: $19.03 General Patient Charge: $21.82
Available brands
Otodex
Sofradex
*Additional charge for this brand is $2.25
 DPMQ: $19.80 Max safety net: $19.03 General Patient Charge: $24.07