RISEDRONATE

General Schedule
Restricted Benefit

Restriction

Indication: Symptomatic Paget disease of bone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 1 DPMQ: $180.99 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actonel