MANNITOL

mannitol 40 mg powder for inhalation, 280 capsules

MANNITOL (2015C)

mannitol 40 mg powder for inhalation, 280 capsules
2015C
Manner of administration:Inhalation By Mouth
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  7362

Indication: Cystic fibrosis

Restriction  7367

Indication: Cystic fibrosis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 4 # of repeats: 5 DPMQ: $1,789.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Bronchitol