AMOXICILLIN

AMOXICILLIN (1886G)

amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL
1886G
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: 1 # of repeats: 1 DPMQ: $19.86 Max safety net: $21.77 General Patient Charge: $24.56
Available brands
APO-Amoxycillin
Amoxycillin Sandoz
Amoxil
*Additional charge for this brand is $4.55
 DPMQ: $24.41 Max safety net: $21.77 General Patient Charge: $29.11

AMOXICILLIN (3302T)

amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL
3302T
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: 1 # of repeats: 0 DPMQ: $19.86 Max safety net: $21.77 General Patient Charge: $24.56
Available brands
APO-Amoxycillin
Amoxycillin Sandoz
Amoxil
*Additional charge for this brand is $4.55
 DPMQ: $24.41 Max safety net: $21.77 General Patient Charge: $29.11