METHYLPREDNISOLONE
Manner of administration:Application
Restriction (Streamlined authority code: 6231)
Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 5 | Max qty units: 5 | # of repeats: 5 | DPMQ: $43.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Advantan | |||||
Manner of administration:Application
Restriction (Streamlined authority code: 6246)
Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 3 | # of repeats: 5 | DPMQ: $31.71 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Advantan | |||||
Manner of administration:Application
Restriction (Streamlined authority code: 6218)
Indication: Corticosteroid-responsive dermatoses
Restriction (Streamlined authority code: 6263)
Indication: Corticosteroid-responsive dermatoses
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 4 | # of repeats: 5 | DPMQ: $37.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Advantan | |||||
Manner of administration:Application
Restriction (Streamlined authority code: 6232)
Indication: Corticosteroid-responsive dermatoses
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: $25.74 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Advantan | |||||
Manner of administration:Application
Restriction
Indication: Eczema
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: 0 | DPMQ: $19.76 | Max safety net: $21.24 | General Patient Charge: $24.03 |
| Available brands | |||||
| Advantan | |||||