APOMORPHINE

APOMORPHINE (12306Q)

apomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules
12306Q
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 10844)

Indication: Parkinson disease
Treatment phase: Maintenance therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 36 Max qty units: 180 # of repeats: 5 DPMQ: $6,165.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Movapo

APOMORPHINE (14407G)

apomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules
14407G
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15542)

Indication: Parkinson disease
Treatment phase: Maintenance therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 72 Max qty units: 360 # of repeats: 5 DPMQ: $12,222.24 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Movapo

APOMORPHINE (5610G)

apomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules
5610G
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 11385)

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 36 Max qty units: 180 # of repeats: 5 DPMQ: $6,029.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Movapo

APOMORPHINE (9640J)

apomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules
9640J
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 11445)

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 36 Max qty units: 180 # of repeats: 5 DPMQ: $6,078.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Movapo