MYCOBACTERIUM BOVIS BCG TICE STRAIN

Mycobacterium bovis BCG Tice strain 500 million CFU injection, 3 vials

MYCOBACTERIUM BOVIS BCG TICE STRAIN (5902P)

Mycobacterium bovis BCG Tice strain 500 million CFU injection, 3 vials
5902P
Manner of administration:Intravesical
Section 100 (CT)
Restricted Benefit

Restriction

Indication: Primary and relapsing superficial urothelial carcinoma of the bladder
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 3 # of repeats: 1 DPMQ: $399.49 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
OncoTICE