MELOXICAM

meloxicam 7.5 mg capsule, 30

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: $17.30 Max safety net: $18.78 General Patient Charge: $21.57
Available brands
APO-Meloxicam
MELOBIC
MELOXICAM-WGR
Meloxicam Sandoz
Movalis 7.5
Moxicam
Mobic
*Additional charge for this brand is $2.82
 DPMQ: $20.12 Max safety net: $18.78 General Patient Charge: $24.39