NAPROXEN

NAPROXEN (5347K)

naproxen 750 mg modified release tablet, 28
5347K
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: 1 Max qty units: 28 # of repeats: 3 DPMQ: $19.14 Max safety net: $20.68 General Patient Charge: $23.47
Available brands
Proxen SR 750
Naprosyn SR750
*Additional charge for this brand is $2.30
 DPMQ: $21.44 Max safety net: $20.68 General Patient Charge: $25.77