CORIFOLLITROPIN ALFA
Manner of administration:Injection
Restriction (Streamlined authority code: 5009)
Indication: Assisted Reproductive Technology
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: $641.03 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Elonva | |||||