NAFARELIN

nafarelin 200 microgram/actuation nasal spray, 60 actuations

NAFARELIN (5815C)

nafarelin 200 microgram/actuation nasal spray, 60 actuations
5815C
Manner of administration:Nasal
S100 IVF
Authority Required (STREAMLINED)

Restriction  5046

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: $222.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Synarel