OXYMETAZOLINE

OXYMETAZOLINE (11711J)

oxymetazoline hydrochloride 0.05% nasal spray, 20 mL
11711J
Body System:
Manner of administration:Nasal
Repatriation Pharmaceutical Benefits
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: - Max safety net: - General Patient Charge: -
Available brands
Pharmacy Action Nasal Decongestant DPMQ: $22.78 Max safety net: $7.70 General Patient Charge: $7.70
Trust Decongestant Nasal Spray DPMQ: $22.78 Max safety net: $7.70 General Patient Charge: $7.70

OXYMETAZOLINE (4378K)

oxymetazoline hydrochloride 0.05% nasal spray, 15 mL
4378K
Body System:
Manner of administration:Nasal
Repatriation Pharmaceutical Benefits
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: - Max safety net: - General Patient Charge: -
Available brands
Drixine DPMQ: $23.12 Max safety net: $7.70 General Patient Charge: $7.70

OXYMETAZOLINE (4379L)

oxymetazoline hydrochloride 0.05% nasal spray, 18 mL
4379L
Body System:
Manner of administration:Nasal
Repatriation Pharmaceutical Benefits
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: - Max safety net: - General Patient Charge: -
Available brands
Logicin Rapid Relief DPMQ: $22.78 Max safety net: $7.70 General Patient Charge: $7.70