DESMOPRESSIN
Manner of administration:Oral
Restriction (Streamlined authority code: 15012)
Indication: Cranial diabetes insipidus
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 6 | Max qty units: 180 | # of repeats: 5 | DPMQ: $218.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minirin | |||||
Manner of administration:Oral
Restriction (Streamlined authority code: 14972)
Indication: Primary nocturnal enuresis
Restriction (Streamlined authority code: 14842)
Indication: Primary nocturnal enuresis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $80.22 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minirin | |||||
Manner of administration:Oral
Restriction (Streamlined authority code: 5266)
Indication: Cranial diabetes insipidus
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 90 | # of repeats: 5 | DPMQ: $113.43 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minirin | |||||
Manner of administration:Oral
Restriction (Streamlined authority code: 5413)
Indication: Primary nocturnal enuresis
Restriction (Streamlined authority code: 5295)
Indication: Primary nocturnal enuresis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $47.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minirin | |||||