APOMORPHINE

apomorphine hydrochloride hemihydrate 100 mg/20 mL injection, 5 x 20 mL vials

APOMORPHINE (11093W)

apomorphine hydrochloride hemihydrate 100 mg/20 mL injection, 5 x 20 mL vials
11093W
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  10863

Indication: Parkinson disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 18 Max qty units: 90 # of repeats: 5 DPMQ: $7,427.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Apomine Solution for Infusion