FOSAPREPITANT
fosaprepitant 150 mg injection, 1 vial
FOSAPREPITANT (11103J)
11103J
Manner of administration:Injection
Restriction 6886
Indication: Nausea and vomiting
Restriction 6891
Indication: Nausea and vomiting
Restriction 6887
Indication: Nausea and vomiting
Restriction 6852
Indication: Nausea and vomiting
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $47.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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