OXAZEPAM
oxazepam 30 mg tablet, 25
OXAZEPAM (3135B)
3135B
Body System:
Manner of administration:Oral
Restriction
Indication: Malignant neoplasia (late stage)
Restriction
Indication: Anxiety
Restriction
Indication: Anxiety
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 2 | Max qty units: 50 | # of repeats: 5 | DPMQ: $19.22 | Max safety net: $20.70 | General Patient Charge: $23.49 |
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DPMQ: $20.90 | Max safety net: $20.70 | General Patient Charge: $25.17 | ||
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DPMQ: $27.06 | Max safety net: $20.70 | General Patient Charge: $31.33 | ||
