INSULIN GLARGINE

INSULIN GLARGINE (11302W)

insulin glargine 300 units/mL injection, 5 x 1.5 mL pen devices
11302W
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 5 Max qty units: 5 # of repeats: 1 DPMQ: $421.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Toujeo Solostar

INSULIN GLARGINE (11308E)

insulin glargine 300 units/mL injection, 3 x 1.5 mL pen devices
11308E
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 5 Max qty units: 5 # of repeats: 1 DPMQ: $256.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Toujeo Solostar

INSULIN GLARGINE (11815W)

insulin glargine 100 units/mL injection, 5 x 3 mL pen devices
11815W
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 5 Max qty units: 5 # of repeats: 1 DPMQ: $187.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Optisulin SoloStar

INSULIN GLARGINE (9039R)

insulin glargine 100 units/mL injection, 5 x 3 mL cartridges
9039R
Body System:
Manner of administration:Injection
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 5 Max qty units: 5 # of repeats: 1 DPMQ: $187.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Optisulin