FOSLEVODOPA + FOSCARBIDOPA
foslevodopa 2.4 g/10 mL + foscarbidopa 120 mg/10 mL injection, 7 x 10 mL vials
FOSLEVODOPA + FOSCARBIDOPA (14887M)
14887M
Body System:
Manner of administration:Injection
Restriction 16812
Indication: Advanced Parkinson disease
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 28 | # of repeats: 5 | DPMQ: $5,112.56 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Vyalev | |||||