CHORIOGONADOTROPIN ALFA
choriogonadotropin alfa 250 microgram/0.5 mL injection, 0.5 mL pen device
CHORIOGONADOTROPIN ALFA (13300B)
13300B
Manner of administration:Injection
Restriction
Indication: Infertility indications other than that of Assisted Reproductive Technology
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 4 | # of repeats: 5 | DPMQ: $304.96 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||