HUMAN CHORIONIC GONADOTROPHIN

human chorionic gonadotrophin 1500 units injection [3 vials] (&) inert substance diluent [3 x 1 mL vials], 1 pack

HUMAN CHORIONIC GONADOTROPHIN (12879W)

human chorionic gonadotrophin 1500 units injection [3 vials] (&) inert substance diluent [3 x 1 mL vials], 1 pack
12879W
Manner of administration:Injection
S100 IVF
Authority Required (STREAMLINED)

Restriction  6991

Indication: Assisted Reproductive Technology
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: 0 DPMQ: $154.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Brevactid 1500 I.E