DESMOPRESSIN
desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations
DESMOPRESSIN (15333B)
15333B
Manner of administration:Nasal
Restriction 5342
Indication: Primary nocturnal enuresis
Restriction 5267
Indication: Primary nocturnal enuresis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $50.79 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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