MELOXICAM

meloxicam 15 mg capsule, 30

MELOXICAM (8888T)

meloxicam 15 mg capsule, 30
8888T
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: $18.40 Max safety net: $19.94 General Patient Charge: $22.73
Available brands
APO-Meloxicam
MELOBIC
MELOXICAM-WGR
Movalis 15
Moxicam
Mobic
*Additional charge for this brand is $2.83
 DPMQ: $21.23 Max safety net: $19.94 General Patient Charge: $25.56