TETRACOSACTIDE
Manner of administration:Injection
Restriction
Indication: Hypsarrhythmia and/or infantile spasms
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 5 | Max qty units: 5 | # of repeats: 5 | DPMQ: $309.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Synacthen Depot 1 mg/1 mL | |||||