AMOXICILLIN + CLAVULANIC ACID

amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL

AMOXICILLIN + CLAVULANIC ACID (8319W)

amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL
8319W
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Infection where resistance to amoxicillin is suspected

Restriction

Indication: Infections where resistance to amoxicillin is proven
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: 1 DPMQ: $20.26 Max safety net: $22.25 General Patient Charge: $25.00
Available brands
Curam Duo
Augmentin Duo 400
*Additional charge for this brand is $5.19
 DPMQ: $25.45 Max safety net: $22.25 General Patient Charge: $30.19