ZOLEDRONIC ACID
Manner of administration:Injection
Restriction (Streamlined authority code: 6308)
Indication: Corticosteroid-induced osteoporosis
Restriction (Streamlined authority code: 6313)
Indication: Osteoporosis
Restriction (Streamlined authority code: 6318)
Indication: Established osteoporosis
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: 0 | DPMQ: $75.32 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Manner of administration:Injection
Restriction (Streamlined authority code: 5710)
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: 1 | # of repeats: 0 | DPMQ: $75.32 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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