AMPHOTERICIN B

AMPHOTERICIN B (2931G)

amphotericin B 10 mg lozenge, 20
2931G
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: 20 # of repeats: 1 DPMQ: $18.16 Max safety net: $19.64 General Patient Charge: $22.43
Available brands
Fungilin

AMPHOTERICIN B (3306B)

amphotericin B 10 mg lozenge, 20
3306B
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: 20 # of repeats: 0 DPMQ: $18.16 Max safety net: $19.64 General Patient Charge: $22.43
Available brands
Fungilin