FOLINIC ACID
folinic acid 50 mg/5 mL injection, 5 mL vial
FOLINIC ACID (5890B)
5890B
Body System:
Manner of administration:Injection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 10 | Max qty units: 10 | # of repeats: 2 | DPMQ: $195.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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