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 |
---|---|---|---|---|---|---|---|
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 |
---|---|---|---|---|---|---|---|
6311EMP | 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 |
---|---|---|---|---|---|---|---|
6476WMP | 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 |
- Legend
- MPMedical Practitioner