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 [2] (&) inert substance diluent [2 x 0.6 mL syringes], 1 pack (PI, CMI)
Available brands
Caverject Impulse 3 6 3 $101.40 $6.50 $6.50
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