TRIMETHOPRIM

trimethoprim 300 mg tablet, 7

TRIMETHOPRIM (2666H)

trimethoprim 300 mg tablet, 7
2666H
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4243)

Indication: Prophylaxis of urinary tract infection
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 14 # of repeats: 2 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
TRIMETHOPRIM-WGR
Trimethoprim Viatris
Alprim
*Additional charge for this brand is $5.14
 DPMQ: $24.98 Max safety net: $21.38 General Patient Charge: $29.31
Triprim
*Additional charge for this brand is $7.46
 DPMQ: $27.30 Max safety net: $21.38 General Patient Charge: $31.63