< All Topics
Print

Amikacin 250 mg / 1 ml Vial for Infusion — 2 ml Vial (Generic for Amikin)

Coverage Level – 100%

Copay – $0

Limitations – No more than 30 days’ supply; Maximum 14 vials in 30 days

Restrictions – Health Pals Mail Order Pharmacy Network

Comments – Generic for Amikin