Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

Authority Required (STREAMLINED)

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
10465TMP	LUTROPIN ALFA lutropin alfa 75 units injection [1 vial] (&) inert substance diluent [1 mL vial], 1 pack (PI, CMI)	14	14	0	$1355.68	$31.60	$31.60
	Available brands
	Luveris