GLATIRAMER ACETATE

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
13110BMP GLATIRAMER ACETATE
glatiramer acetate 40 mg/mL injection, 12 x 1 mL pen devices (PI, CMI)
1 12 5 $667.25 $42.50 $42.50
Available brands
Copaxonea
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