BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation
powder for inhalation, 120 actuations
BUDESONIDE + FORMOTEROL (11273H)
11273H
Manner of administration:Inhalation By Mouth
Restriction 7970
Indication: Asthma
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $37.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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