SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10427TMP | SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $171.28 | $31.60 | $31.60 |
Available brands | |||||||
Scitropin A |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10441MMP | SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $333.90 | $31.60 | $31.60 |
Available brands | |||||||
SciTropin A |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10446TMP | SOMATROPIN somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $496.51 | $31.60 | $31.60 |
Available brands | |||||||
Omnitrope Surepal 15 |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10481PMP | SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $333.90 | $31.60 | $31.60 |
Available brands | |||||||
SciTropin A |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10484TMP | SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $171.28 | $31.60 | $31.60 |
Available brands | |||||||
Scitropin A |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10485WMP | SOMATROPIN somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $496.51 | $31.60 | $31.60 |
Available brands | |||||||
Omnitrope Surepal 15 |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10490DMP | SOMATROPIN somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $496.51 | $31.60 | $31.60 |
Available brands | |||||||
Omnitrope Surepal 15 |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10506YMP | SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $333.90 | $31.60 | $31.60 |
Available brands | |||||||
Omnitrope Surepal 10 |
SOMATROPIN
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10507BMP | SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI) |
1 | 1 | 1 | $171.28 | $31.60 | $31.60 |
Available brands | |||||||
Omnitrope Surepal 5 |
- Legend
- MPMedical Practitioner