APOMORPHINE
apomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL cartridges
APOMORPHINE (11672H)
11672H
Body System:
Manner of administration:Injection
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: 20 | Max qty units: 100 | # of repeats: 5 | DPMQ: $2,588.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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