HUMAN CHORIONIC GONADOTROPHIN

human chorionic gonadotrophin 1500 units injection [3 vials] (&) inert substance diluent [3 x 1 mL vials], 1 pack

HUMAN CHORIONIC GONADOTROPHIN (12905F)

human chorionic gonadotrophin 1500 units injection [3 vials] (&) inert substance diluent [3 x 1 mL vials], 1 pack
12905F
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Anovulatory infertility

Restriction

Indication: Infertility

Restriction

Indication: Infertility

Restriction

Indication: Combined deficiency of human growth hormone and gonadotrophins

Restriction

Indication: Hypogonadism or delayed puberty
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: $166.75 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Brevactid 1500 I.E