PREDNISOLONE SODIUM PHOSPHATE

General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $26.58 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
PredMix
Redipred
*Additional charge for this brand is $4.14
DPMQ: $30.72 Max safety net: $25.00 General Patient Charge: $29.14
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: 1 # of repeats: 5 DPMQ: $20.18 Max safety net: $21.66 General Patient Charge: $24.45
Available brands
PredMix
Redipred
*Additional charge for this brand is $2.07
DPMQ: $22.25 Max safety net: $21.66 General Patient Charge: $26.52