BETAINE

General Schedule
Authority Required

Restriction

Indication: Homocystinuria
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: $522.50 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cystadane