ESKETAMINE

esketamine 28 mg/2 actuations nasal spray, 2 actuations

ESKETAMINE (14836W)

esketamine 28 mg/2 actuations nasal spray, 2 actuations
14836W
Manner of administration:Nasal
General Schedule
Authority Required

Restriction

Indication: Treatment resistant major depression
Treatment phase: Induction treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 8 Max qty units: 8 # of repeats: 0 DPMQ: $2,521.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spravato