LANREOTIDE
lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe
LANREOTIDE (5777C)
5777C
Manner of administration:Injection
Restriction 7025
Indication: Acromegaly
Restriction 4575
Indication: Functional carcinoid tumour
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 2 | # of repeats: 5 | DPMQ: $1,699.46 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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