DESMOPRESSIN
Manner of administration:Nasal
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: 2 | Max qty units: 2 | # of repeats: 5 | DPMQ: $102.60 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Manner of administration:Nasal
Restriction (Streamlined authority code: 5342)
Indication: Primary nocturnal enuresis
Restriction (Streamlined authority code: 5267)
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: 1 | # of repeats: 5 | DPMQ: $58.19 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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