NAPROXEN

naproxen sodium 550 mg tablet, 50

NAPROXEN (5353R)

naproxen sodium 550 mg tablet, 50
5353R
Body System:
Manner of administration:Oral
Palliative Care
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 50 # of repeats: 3 DPMQ: $19.35 Max safety net: $20.83 General Patient Charge: $23.62
Available brands
Crysanal
Anaprox 550
*Additional charge for this brand is $2.85
 DPMQ: $22.20 Max safety net: $20.83 General Patient Charge: $26.47