AMOROLFINE

AMOROLFINE (4010C)

amorolfine 5% solution, 5 mL
4010C
Body System:
Manner of administration:Application
Repatriation Pharmaceutical Benefits
Restricted Benefit

Restriction

Indication: Onychomycosis
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Aporyl DPMQ: $86.60 Max safety net: $7.70 General Patient Charge: $7.70
Loceryl DPMQ: $95.35 Max safety net: $7.70 General Patient Charge: $7.70
Myconail DPMQ: $50.35 Max safety net: $7.70 General Patient Charge: $7.70
Pharmacy Action Anti-Fungal Nail Treatment DPMQ: $50.35 Max safety net: $7.70 General Patient Charge: $7.70