TRIPTORELIN

triptorelin acetate 100 microgram/mL injection, 7 x 1 mL syringes

TRIPTORELIN (10907C)

triptorelin acetate 100 microgram/mL injection, 7 x 1 mL syringes
10907C
Manner of administration:Injection
S100 IVF
Authority Required (STREAMLINED)

Restriction  5046

Indication: Assisted Reproductive Technology
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 28 # of repeats: 0 DPMQ: $148.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Decapeptyl