SOMATROPIN
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| 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 |
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| 3388HMP | SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $659.35 | $31.60 | $31.60 |
| Available brands | |||||||
| Saizen |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 5818FMP | SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $166.45 | $31.60 | $31.60 |
| Available brands | |||||||
| Norditropin FlexPro |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 5819GMP | SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $334.11 | $31.60 | $31.60 |
| Available brands | |||||||
| Norditropin FlexPro |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 5820HMP | SOMATROPIN somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $496.72 | $31.60 | $31.60 |
| Available brands | |||||||
| Norditropin FlexPro |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 5822KMP | SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI) |
1 | 1 | 1 | $197.96 | $31.60 | $31.60 |
| Available brands | |||||||
| Saizen |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 5824MMP | SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $387.04 | $31.60 | $31.60 |
| Available brands | |||||||
| Saizen |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6311EMP | SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $334.11 | $31.60 | $31.60 |
| Available brands | |||||||
| SciTropin A |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6313GMP | SOMATROPIN somatropin 800 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $191.02 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6314HMP | SOMATROPIN somatropin 1 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $236.55 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6315JMP | SOMATROPIN somatropin 1.2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $282.08 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6316KMP | SOMATROPIN somatropin 1.4 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $327.61 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6317LMP | SOMATROPIN somatropin 1.6 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $373.14 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6318MMP | SOMATROPIN somatropin 1.8 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $418.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6319NMP | SOMATROPIN somatropin 2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $464.20 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 6476WMP | SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $171.49 | $31.60 | $31.60 |
| Available brands | |||||||
| Scitropin A |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 9585LMP | SOMATROPIN somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (PI, CMI) |
1 | 1 | 1 | $166.45 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin GoQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 9586MMP | SOMATROPIN somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (PI, CMI) |
1 | 1 | 1 | $387.04 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin GoQuick |
SOMATROPIN
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| 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 |
|---|---|---|---|---|---|---|---|
| 9628RMP | SOMATROPIN somatropin 600 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (PI, CMI) |
1 | 7 | 1 | $145.48 | $31.60 | $31.60 |
| Available brands | |||||||
| Genotropin MiniQuick |
- Legend
- MPMedical Practitioner
