NAPROXEN

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: 1 Max qty units: 50 # of repeats: 0 DPMQ: $19.75 Max safety net: $21.29 General Patient Charge: $24.08
Available brands
Crysanal
Anaprox 550
*Additional charge for this brand is $2.77
DPMQ: $22.52 Max safety net: $21.29 General Patient Charge: $26.85