HUMAN CHORIONIC GONADOTROPHIN

human chorionic gonadotrophin 5000 units injection [1 vial] (&) inert substance diluent [1 mL syringe], 1 pack

HUMAN CHORIONIC GONADOTROPHIN (15191M)

human chorionic gonadotrophin 5000 units injection [1 vial] (&) inert substance diluent [1 mL syringe], 1 pack
15191M
Body System:
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: 2 Max qty units: 2 # of repeats: 0 DPMQ: $226.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Choriomon 5000 I.E