CEFACLOR

CEFACLOR (1169M)

cefaclor 375 mg modified release tablet, 10
1169M
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: 10 # of repeats: 1 DPMQ: $17.70 Max safety net: $19.18 General Patient Charge: $21.97
Available brands
Keflor CD
Ceclor CD
*Additional charge for this brand is $7.85
 DPMQ: $25.55 Max safety net: $19.18 General Patient Charge: $29.82

CEFACLOR (2460L)

cefaclor 125 mg/5 mL powder for oral liquid, 100 mL
2460L
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: $20.86 Max safety net: $22.77 General Patient Charge: $25.00
Available brands
Cefaclor SUN
Keflor
Ceclor
*Additional charge for this brand is $7.85
 DPMQ: $28.71 Max safety net: $22.77 General Patient Charge: $32.85

CEFACLOR (2461M)

cefaclor 250 mg/5 mL powder for oral liquid, 75 mL
2461M
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: $20.86 Max safety net: $22.77 General Patient Charge: $25.00
Available brands
Cefaclor SUN
Keflor
Ceclor
*Additional charge for this brand is $7.85
 DPMQ: $28.71 Max safety net: $22.77 General Patient Charge: $32.85

CEFACLOR (5045M)

cefaclor 375 mg modified release tablet, 10
5045M
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: 10 # of repeats: 0 DPMQ: $17.70 Max safety net: $19.18 General Patient Charge: $21.97
Available brands
Keflor CD
Ceclor CD
*Additional charge for this brand is $7.85
 DPMQ: $25.55 Max safety net: $19.18 General Patient Charge: $29.82

CEFACLOR (5046N)

cefaclor 125 mg/5 mL powder for oral liquid, 100 mL
5046N
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: $20.86 Max safety net: $22.77 General Patient Charge: $25.00
Available brands
Cefaclor SUN
Keflor
Ceclor
*Additional charge for this brand is $7.85
 DPMQ: $28.71 Max safety net: $22.77 General Patient Charge: $32.85

CEFACLOR (5047P)

cefaclor 250 mg/5 mL powder for oral liquid, 75 mL
5047P
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: $20.86 Max safety net: $22.77 General Patient Charge: $25.00
Available brands
Cefaclor SUN
Keflor
Ceclor
*Additional charge for this brand is $7.85
 DPMQ: $28.71 Max safety net: $22.77 General Patient Charge: $32.85