AMOXICILLIN + CLAVULANIC ACID
amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10
AMOXICILLIN + CLAVULANIC ACID (11933C)
11933C
Manner of administration:Oral
Restriction 10413
Indication: Infection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 20 | # of repeats: 0 | DPMQ: $20.42 | Max safety net: $21.90 | General Patient Charge: $24.69 |
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DPMQ: $33.98 | Max safety net: $21.90 | General Patient Charge: $38.25 | ||