CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX

clostridium botulinum type A toxin-haemagglutinin complex 300 units injection, 1 vial

CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX (10981Y)

clostridium botulinum type A toxin-haemagglutinin complex 300 units injection, 1 vial
10981Y
Manner of administration:Injection
S100 Botulinum Toxin Program
Authority Required (STREAMLINED)

Restriction  5359

Indication: Dynamic equinus foot deformity

Restriction  8822

Indication: Dynamic equinus foot deformity
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 4 # of repeats: 0 DPMQ: $959.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dysport