ROXITHROMYCIN

ROXITHROMYCIN (11993F)

roxithromycin 300 mg tablet, 5
11993F
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10404)

Indication: Infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 10 # of repeats: 0 DPMQ: $19.84 Max safety net: $21.32 General Patient Charge: $24.11
Available brands
APX-Roxithromycin
ROXITHROMYCIN-WGR
Roxar 300
Roxithromycin Sandoz

ROXITHROMYCIN (5261X)

roxithromycin 300 mg tablet, 5
5261X
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: 5 # of repeats: 0 DPMQ: $16.81 Max safety net: $18.29 General Patient Charge: $21.08
Available brands
APX-Roxithromycin
ROXITHROMYCIN-WGR
Roxar 300
Roxithromycin Sandoz

ROXITHROMYCIN (8016X)

roxithromycin 300 mg tablet, 5
8016X
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: 5 # of repeats: 0 DPMQ: $16.81 Max safety net: $18.29 General Patient Charge: $21.08
Available brands
APX-Roxithromycin
ROXITHROMYCIN-WGR
Roxar 300
Roxithromycin Sandoz