CEFUROXIME

CEFUROXIME (11227X)

cefuroxime 250 mg tablet, 20
11227X
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: $20.80 Max safety net: $22.34 General Patient Charge: $25.00
Available brands
ARX-Cefuroxime
Pharmacor Cefuroxime
Zinnat
*Additional charge for this brand is $3.10
 DPMQ: $23.90 Max safety net: $22.34 General Patient Charge: $28.10

CEFUROXIME (11228Y)

cefuroxime 250 mg tablet, 20
11228Y
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: $20.80 Max safety net: $22.34 General Patient Charge: $25.00
Available brands
ARX-Cefuroxime
Pharmacor Cefuroxime
Zinnat
*Additional charge for this brand is $3.10
 DPMQ: $23.90 Max safety net: $22.34 General Patient Charge: $28.10

CEFUROXIME (5052X)

cefuroxime 250 mg tablet, 14
5052X
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: 14 # of repeats: 0 DPMQ: $18.92 Max safety net: $20.46 General Patient Charge: $23.25
Available brands
ARX-Cefuroxime
Pharmacor Cefuroxime

CEFUROXIME (8292K)

cefuroxime 250 mg tablet, 14
8292K
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: 14 # of repeats: 1 DPMQ: $18.92 Max safety net: $20.46 General Patient Charge: $23.25
Available brands
ARX-Cefuroxime
Pharmacor Cefuroxime