ALPROSTADIL
alprostadil 20 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL
chamber], 2 dual chamber syringes
ALPROSTADIL (4580C)
4580C
Body System:
Manner of administration:Injection
Restriction
Indication: Erectile dysfunction
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 6 | # of repeats: 3 | DPMQ: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| Caverject Impulse | DPMQ: $153.30 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||
