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: $26.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
PredMix
Redipred
*Additional charge for this brand is $4.02
DPMQ: $30.78 Max safety net: $25.00 General Patient Charge: $29.02
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: $20.56 Max safety net: $22.10 General Patient Charge: $24.89
Available brands
PredMix
Redipred
*Additional charge for this brand is $2.01
DPMQ: $22.57 Max safety net: $22.10 General Patient Charge: $26.90