INTERFERON BETA-1B
interferon beta-1b 8 million units (250 microgram) injection [15 vials] (&) inert
substance diluent [15 x 1.2 mL syringes], 1 pack
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 16321)
Indication: Multiple sclerosis
Treatment phase: Initial treatment
Restriction (Streamlined authority code: 16297)
Indication: Multiple sclerosis
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 15 | # of repeats: 5 | DPMQ: $763.87 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Betaferon | |||||
