INDACATEROL + GLYCOPYRRONIUM + MOMETASONE

indacaterol 114 microgram + glycopyrronium 46 microgram + mometasone furoate 136 microgram powder for inhalation, 30 capsules

INDACATEROL + GLYCOPYRRONIUM + MOMETASONE (12295D)

indacaterol 114 microgram + glycopyrronium 46 microgram + mometasone furoate 136 microgram powder for inhalation, 30 capsules
12295D
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Authority Required (STREAMLINED)

Restriction  12603

Indication: Severe 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: 30 # of repeats: 5 DPMQ: $89.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Enerzair Breezhaler