ESTRIOL

estriol 500 microgram pessary, 15

ESTRIOL (14059Y)

estriol 500 microgram pessary, 15
14059Y
Manner of administration:Vaginal
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 2 DPMQ: $39.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ovestin Ovula