FOLLITROPIN DELTA

follitropin delta 12 microgram/0.36 mL injection, 0.36 mL pen device

FOLLITROPIN DELTA (11430N)

follitropin delta 12 microgram/0.36 mL injection, 0.36 mL pen device
11430N
Manner of administration:Injection
S100 IVF
Authority Required (STREAMLINED)

Restriction  5027

Indication: Assisted Reproductive Technology
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 5 Max qty units: 5 # of repeats: 0 DPMQ: $445.83 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rekovelle