GLYCOPYRRONIUM

Glycopyrronium 2.2 mg/actuation cream, 124 actuations

GLYCOPYRRONIUM (15337F)

Glycopyrronium 2.2 mg/actuation cream, 124 actuations
15337F
Manner of administration:Application
General Schedule
Authority Required (STREAMLINED)

Restriction  18526

Indication: Severe primary axillary hyperhidrosis
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: 2 DPMQ: $160.21 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Axhidrox