Source	S100 Botulinum Toxin Program
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
15247LMP	INCOBOTULINUMTOXINA incobotulinumtoxinA 100 units injection, 1 vial (PI, CMI)	1	1	0	$360.86	$25.00	$25.00
	Available brands
	Xeomin