DESMOPRESSIN

DESMOPRESSIN (15282H)

desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations
15282H
Body System:
Manner of administration:Nasal
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5266)

Indication: Cranial diabetes insipidus
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: $87.80 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Desmomed

DESMOPRESSIN (15333B)

desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations
15333B
Body System:
Manner of administration:Nasal
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5342)

Indication: Primary nocturnal enuresis

Restriction (Streamlined authority code: 5267)

Indication: Primary nocturnal enuresis
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: $50.79 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Desmomed