PHENOXYMETHYLPENICILLIN

PHENOXYMETHYLPENICILLIN (5024K)

phenoxymethylpenicillin 125 mg/5 mL powder for oral liquid, 100 mL
5024K
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: 2 Max qty units: 2 # of repeats: 0 DPMQ: $26.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phenoxymethylpenicillin-AFT

PHENOXYMETHYLPENICILLIN (5029Q)

phenoxymethylpenicillin 250 mg/5 mL powder for oral liquid, 100 mL
5029Q
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: 2 Max qty units: 2 # of repeats: 0 DPMQ: $28.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phenoxymethylpenicillin-AFT

PHENOXYMETHYLPENICILLIN (8976K)

phenoxymethylpenicillin 125 mg/5 mL powder for oral liquid, 100 mL
8976K
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: $26.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phenoxymethylpenicillin-AFT

PHENOXYMETHYLPENICILLIN (8977L)

phenoxymethylpenicillin 250 mg/5 mL powder for oral liquid, 100 mL
8977L
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: $28.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Phenoxymethylpenicillin-AFT