TERIPARATIDE
teriparatide 250 microgram/mL injection, 2.4 mL cartridge
TERIPARATIDE (15152L)
15152L
Manner of administration:Injection
Restriction 12492
Indication: Severe established osteoporosis
Treatment phase: Initial treatment
Restriction 12270
Indication: Severe established osteoporosis
Treatment phase: Continuing treatment
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: 5 | DPMQ: $177.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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