EDARAVONE

edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules

EDARAVONE (14806G)

edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules
14806G
Manner of administration:Injection
S100 HSD Community Access
Authority Required

Restriction

Indication: Amyotrophic lateral sclerosis
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 20 # of repeats: 2 DPMQ: $4,448.88 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Radicava