INCOBOTULINUMTOXINA
incobotulinumtoxinA 100 units injection, 1 vial
INCOBOTULINUMTOXINA (12087E)
12087E
Manner of administration:Injection
Restriction 9547
Indication: Moderate to severe spasticity of the upper limb following an acute event
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 4 | # of repeats: 0 | DPMQ: $1,319.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Xeomin | |||||