INDOMETACIN

INDOMETACIN (2757D)

indometacin 100 mg suppository, 20
2757D
Body System:
Manner of administration:Rectal
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: 40 # of repeats: 3 DPMQ: $27.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Indocid

INDOMETACIN (5128X)

indometacin 100 mg suppository, 20
5128X
Body System:
Manner of administration:Rectal
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: 40 # of repeats: 0 DPMQ: $27.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Indocid