Over-the-counter (OTC). $50/claim. Generic. $1,000/claim. Single 40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml.
Sublingual dosage daily limit: 32 mg. Refer to the CDL for 40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml.
Note: This limit does not apply to new start opioid prescriptions. 40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml.
40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml 28 mg/capsule ea. LR. Restricted to NDC labeler code
40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml 28 mg/capsule ea. LR. Restricted to NDC labeler code
Sublingual dosage daily limit: 32 mg. Refer to the CDL for 40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml.
40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml. Ophthalmic. Solution/Drops. 0.3 %, 5ml. 0.3 %, 15ml ml ml. Griseofulvin.
40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml. Ophthalmic. Solution/Drops. 0.3 %, 5ml. 0.3 %, 15ml ml ml. Griseofulvin.
off-label use of those drugs, would only be reimbursable by 40 mg/ml, 2 ml. 40 mg/ml, 20 ml. 40 mg/ml, 50 ml ml ml ml ml ml ml ml.
Comments
For clarity's sake, Biphetamine was a mixture of amphetamine salts and (for practical purposes) the same as Adderall.