HYDROCORTISONE SODIUM SUCCINATE

HYDROCORTISONE SODIUM SUCCINATE (1511M)

hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial
1511M
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: For use in a hospital
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 0 DPMQ: $71.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Solu-Cortef

HYDROCORTISONE SODIUM SUCCINATE (3096Y)

hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial
3096Y
Body System:
Manner of administration:Injection
General Schedule
No restrictions
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: 0 DPMQ: $23.38 Max safety net: $24.86 General Patient Charge: $25.00
Available brands
Solu-Cortef

HYDROCORTISONE SODIUM SUCCINATE (3471Q)

hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial
3471Q
Body System:
Manner of administration:Injection
Prescriber Bag
No restrictions
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: 0 DPMQ: $23.38 Max safety net: $0.00 General Patient Charge: Nil
Available brands
Solu-Cortef

HYDROCORTISONE SODIUM SUCCINATE (5119K)

hydrocortisone (as sodium succinate) 250 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial
5119K
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: For use in a hospital
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 0 DPMQ: $71.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Solu-Cortef