PREDNISONE

General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 4 DPMQ: $19.88 Max safety net: $21.36 General Patient Charge: $24.15
Available brands
Predsone
Panafcort
*Additional charge for this brand is $2.00
DPMQ: $21.88 Max safety net: $21.36 General Patient Charge: $26.15