EDARAVONE
edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules
EDARAVONE (14804E)
14804E
Body System:
Manner of administration:Injection
Restriction
Indication: Amyotrophic lateral sclerosis
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2.8000000000000003 | Max qty units: 28 | # of repeats: 0 | DPMQ: $6,208.89 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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