INCOBOTULINUMTOXINA

Source S100 Botulinum Toxin Program
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS
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
10994PMP INCOBOTULINUMTOXINA
incobotulinumtoxinA 100 units injection, 1 vial (PI, CMI)
4 4 0 $1472.82 $42.50 $42.50
Available brands
Xeomin
space

INCOBOTULINUMTOXINA

Source S100 Botulinum Toxin Program
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS
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
11005FMP INCOBOTULINUMTOXINA
incobotulinumtoxinA 100 units injection, 1 vial (PI, CMI)
4 4 0 $1472.82 $42.50 $42.50
Available brands
Xeomin
space

INCOBOTULINUMTOXINA

Source S100 Botulinum Toxin Program
Body System MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS
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
12087EMP INCOBOTULINUMTOXINA
incobotulinumtoxinA 100 units injection, 1 vial (PI, CMI)
4 4 0 $1472.82 $42.50 $42.50
Available brands
Xeomin
space


  • Legend
  • MPMedical Practitioner