OXAZEPAM

OXAZEPAM (3132W)

oxazepam 15 mg tablet, 25
3132W
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: 25 # of repeats: 0 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
Alepam 15
Serepax

OXAZEPAM (3134Y)

oxazepam 15 mg tablet, 25
3134Y
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Malignant neoplasia (late stage)

Restriction

Indication: Anxiety

Restriction

Indication: Anxiety
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 50 # of repeats: 5 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
Alepam 15
Serepax

OXAZEPAM (5192G)

oxazepam 15 mg tablet, 25
5192G
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: 25 # of repeats: 0 DPMQ: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
Alepam 15
Serepax

OXAZEPAM (5371Q)

oxazepam 15 mg tablet, 25
5371Q
Body System:
Manner of administration:Oral
Palliative Care
Authority Required

Restriction

Indication: Anxiety
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 50 # of repeats: 3 DPMQ: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
Alepam 15
Serepax