AMOXICILLIN

AMOXICILLIN (11998L)

amoxicillin 250 mg capsule, 20
11998L
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10404)

Indication: 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: 40 # of repeats: 0 DPMQ: $19.84 Max safety net: $21.38 General Patient Charge: $24.17
Available brands
AMILOXYN
APO-Amoxycillin
Alphamox 250
Cilamox
Amoxil
*Additional charge for this brand is $8.86
 DPMQ: $28.70 Max safety net: $21.38 General Patient Charge: $33.03