OCTREOTIDE
octreotide 100 microgram/mL injection, 5 x 1 mL vials
OCTREOTIDE (14177E)
14177E
Manner of administration:Injection
Restriction 9233
Indication: Acromegaly
Restriction 9289
Indication: Functional carcinoid tumour
Restriction 9232
Indication: Vasoactive intestinal peptide secreting tumour (VIPoma)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 18 | Max qty units: 90 | # of repeats: 11 | DPMQ: $697.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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