ERYTHROMYCIN ETHYLSUCCINATE

ERYTHROMYCIN ETHYLSUCCINATE (2424N)

erythromycin (as ethylsuccinate) 200 mg/5 mL powder for oral liquid, 100 mL
2424N
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: $21.82 Max safety net: $23.73 General Patient Charge: $25.00
Available brands
E-Mycin 200

ERYTHROMYCIN ETHYLSUCCINATE (2428T)

erythromycin (as ethylsuccinate) 400 mg/5 mL powder for oral liquid, 100 mL
2428T
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: $23.06 Max safety net: $24.97 General Patient Charge: $25.00
Available brands
E-Mycin 400

ERYTHROMYCIN ETHYLSUCCINATE (3334L)

erythromycin (as ethylsuccinate) 200 mg/5 mL powder for oral liquid, 100 mL
3334L
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: $21.82 Max safety net: $23.73 General Patient Charge: $25.00
Available brands
E-Mycin 200

ERYTHROMYCIN ETHYLSUCCINATE (3337P)

erythromycin (as ethylsuccinate) 400 mg/5 mL powder for oral liquid, 100 mL
3337P
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: $23.06 Max safety net: $24.97 General Patient Charge: $25.00
Available brands
E-Mycin 400