BUPRENORPHINE
buprenorphine 25 microgram/hour patch, 2
BUPRENORPHINE (10964C)
10964C
Body System:
Manner of administration:Transdermal
Restriction
Indication: Severe disabling pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 4 | # of repeats: 0 | DPMQ: $68.14 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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