LUTROPIN ALFA
lutropin alfa 75 units injection [1 vial] (&) inert substance diluent [1 mL vial],
1 pack
LUTROPIN ALFA (10465T)
10465T
Manner of administration:Injection
Restriction 5251
Indication: Stimulation of follicular development
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 14 | Max qty units: 14 | # of repeats: 0 | DPMQ: $1,355.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Luveris | |||||
