CEFALEXIN
Manner of administration:Oral
Restriction (Streamlined authority code: 17381)
Indication: Osteomyelitis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 40 | # of repeats: 1 | DPMQ: $19.22 | Max safety net: $20.70 | General Patient Charge: $23.49 |
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DPMQ: $31.78 | Max safety net: $20.70 | General Patient Charge: $36.05 | ||
Manner of administration:Oral
Restriction (Streamlined authority code: 10410)
Indication: Infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 40 | # of repeats: 0 | DPMQ: $19.22 | Max safety net: $20.70 | General Patient Charge: $23.49 |
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DPMQ: $31.78 | Max safety net: $20.70 | General Patient Charge: $36.05 | ||
Manner of administration:Oral
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 |
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DPMQ: $22.78 | Max safety net: $17.98 | General Patient Charge: $27.05 | ||
Manner of administration:Oral
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 |
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DPMQ: $22.78 | Max safety net: $17.98 | General Patient Charge: $27.05 | ||
