ALPROSTADIL

Source Repatriation Pharmaceutical Benefits
Body System GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > UROLOGICALS
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
4579BMP ALPROSTADILR
alprostadil 10 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL chamber], 2 dual chamber syringes (PI, CMI)
Available brands
Caverject Impulse 3 6 3 $106.03 $6.60 $6.60
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