METHOXSALEN

methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials

METHOXSALEN (12855N)

methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials
12855N
Manner of administration:Extracorporeal Circulation
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 12579)

Indication: Chronic graft versus host disease
Treatment phase: Initial treatment in a treatment episode
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 12 # of repeats: 1 DPMQ: $2,430.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Uvadex