SODIUM PHENYLBUTYRATE

sodium phenylbutyrate 483 mg/g granules, 174 g

SODIUM PHENYLBUTYRATE (11865L)

sodium phenylbutyrate 483 mg/g granules, 174 g
11865L
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9993)

Indication: Urea cycle disorders
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 9919)

Indication: Urea cycle disorders
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 3 # of repeats: 5 DPMQ: $1,561.89 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pheburane