MELOXICAM

meloxicam 15 mg tablet, 30

MELOXICAM (8562P)

meloxicam 15 mg tablet, 30
8562P
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: $18.00 Max safety net: $19.48 General Patient Charge: $22.27
Available brands
APX-Meloxicam
CIPLA MELOXICAM 15
MELOBIC
MELOXICAM-WGR
Meloxibell
Meloxicam Sandoz
Meloxicam Viatris
Movalis 15
Moxicam 15
Mobic
*Additional charge for this brand is $2.88
 DPMQ: $20.88 Max safety net: $19.48 General Patient Charge: $25.15