SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10442NMP | SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $658.84 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10458KMP | SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI) |
1 | 1 | 1 | $197.45 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10462PMP | SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI) |
1 | 1 | 1 | $197.45 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10483RMP | SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $386.53 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10495JMP | SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $386.53 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10497LMP | SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $658.84 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13709MMP | SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 5 | $386.53 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
13712QMP | SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI) |
1 | 1 | 5 | $197.45 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
3388HMP | SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $658.84 | $31.60 | $31.60 |
Available brands | |||||||
Saizen |
- Legend
- MPMedical Practitioner