MELOXICAM

MELOXICAM (8561N)

meloxicam 7.5 mg tablet, 30
8561N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Osteoarthritis

Restriction

Indication: Rheumatoid arthritis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 3 DPMQ: $17.70 Max safety net: $19.24 General Patient Charge: $22.03
Available brands
APX-Meloxicam
CIPLA MELOXICAM 7.5
MELOBIC
MELOXICAM-WGR
Meloxibell
Meloxicam Sandoz
Meloxicam Viatris
Movalis 7.5
Moxicam 7.5
Mobic
*Additional charge for this brand is $2.80
 DPMQ: $20.50 Max safety net: $19.24 General Patient Charge: $24.83

MELOXICAM (8562P)

meloxicam 15 mg tablet, 30
8562P
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Osteoarthritis

Restriction

Indication: Rheumatoid arthritis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 3 DPMQ: $18.40 Max safety net: $19.94 General Patient Charge: $22.73
Available brands
APX-Meloxicam
CIPLA MELOXICAM 15
MELOBIC
MELOXICAM-WGR
Meloxibell
Meloxicam Sandoz
Meloxicam Viatris
Movalis 15
Moxicam 15
Mobic
*Additional charge for this brand is $2.83
 DPMQ: $21.23 Max safety net: $19.94 General Patient Charge: $25.56

MELOXICAM (8887R)

meloxicam 7.5 mg capsule, 30
8887R
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Osteoarthritis

Restriction

Indication: Rheumatoid arthritis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 3 DPMQ: $17.70 Max safety net: $19.24 General Patient Charge: $22.03
Available brands
APO-Meloxicam
MELOBIC
MELOXICAM-WGR
Movalis 7.5
Moxicam
Mobic
*Additional charge for this brand is $2.80
 DPMQ: $20.50 Max safety net: $19.24 General Patient Charge: $24.83

MELOXICAM (8888T)

meloxicam 15 mg capsule, 30
8888T
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Osteoarthritis

Restriction

Indication: Rheumatoid arthritis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 3 DPMQ: $18.40 Max safety net: $19.94 General Patient Charge: $22.73
Available brands
APO-Meloxicam
MELOBIC
MELOXICAM-WGR
Movalis 15
Moxicam
Mobic
*Additional charge for this brand is $2.83
 DPMQ: $21.23 Max safety net: $19.94 General Patient Charge: $25.56