LUTROPIN ALFA

lutropin alfa 75 units injection [1 vial] (&) inert substance diluent [1 mL vial], 1 pack
Manner of administration:Injection
S100 IVF
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5251)

Indication: Stimulation of follicular development
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 14 Max qty units: 14 # of repeats: 0 DPMQ: $1,355.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Luveris