NAPROXEN

NAPROXEN (1674D)

naproxen 250 mg tablet, 50
1674D
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Chronic arthropathies (including osteoarthritis)

Restriction

Indication: Bone pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 100 # of repeats: 3 DPMQ: $23.24 Max safety net: $24.72 General Patient Charge: $25.00
Available brands
Naprosyn

NAPROXEN (5176K)

naproxen 250 mg tablet, 50
5176K
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Chronic arthropathies (including osteoarthritis)

Restriction

Indication: Bone pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 100 # of repeats: 0 DPMQ: $23.24 Max safety net: $24.72 General Patient Charge: $25.00
Available brands
Naprosyn

NAPROXEN (5345H)

naproxen 250 mg tablet, 50
5345H
Body System:
Manner of administration:Oral
Palliative Care
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 100 # of repeats: 3 DPMQ: $23.24 Max safety net: $24.72 General Patient Charge: $25.00
Available brands
Naprosyn