NAPROXEN

NAPROXEN (5348L)

naproxen 1 g modified release tablet, 28
5348L
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: $20.72 Max safety net: $22.26 General Patient Charge: $25.00
Available brands
Proxen SR 1000
Naprosyn SR1000
*Additional charge for this brand is $2.29
 DPMQ: $23.01 Max safety net: $22.26 General Patient Charge: $27.29