PALOVAROTENE

palovarotene 10 mg capsule, 28

PALOVAROTENE (15087C)

palovarotene 10 mg capsule, 28
15087C
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17018)

Indication: Fibrodysplasia ossificans progressiva (FOP)
Treatment phase: Flare-up (acute) treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 56 # of repeats: 2 DPMQ: $199,970.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Sohonos