Legend
- R
- Repatriation Care items
- MP
- Medical Practitioner
| Source | Repatriation Pharmaceutical Benefits |
| Body System | GENITO URINARY SYSTEM AND SEX HORMONES > UROLOGICALS > OTHER UROLOGICALS, INCL. ANTISPASMODICS |
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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 | Max price to consumer |
|---|---|---|---|---|---|---|---|
| 4580CMP | ALPROSTADILRalprostadil 20 microgram injection [2 x 20 microgram syringes] (&) inert substance diluent [2 x 0.6 mL syringes], 1 pack (PI, CMI) | ||||||
| Available brands | |||||||
| Caverject Impulse | 3 | 6 | 3 | $132.91 | $5.90 | $5.90 | |