RANIBIZUMAB
ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial
RANIBIZUMAB (13149C)
13149C
Body System:
Manner of administration:Injection
Restriction 13387
Indication: Branch retinal vein occlusion with macular oedema
Treatment phase: Continuing treatment
Restriction 13336
Indication: Central retinal vein occlusion with macular oedema
Treatment phase: Continuing treatment
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: 2 | DPMQ: $786.69 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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