DESFERRIOXAMINE

desferrioxamine mesilate 2 g injection, 1 vial

DESFERRIOXAMINE (5661Y)

desferrioxamine mesilate 2 g injection, 1 vial
5661Y
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  6394

Indication: Disorders of erythropoiesis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 60 Max qty units: 60 # of repeats: 5 DPMQ: $2,614.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DBL Desferrioxamine Mesilate