FOLINIC ACID

folinic acid 15 mg tablet, 10

FOLINIC ACID (5904R)

folinic acid 15 mg tablet, 10
5904R
Manner of administration:Oral
Section 100 (CT)
Restricted Benefit

Restriction

Indication: Megaloblastic anaemias
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $76.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Leucovorin Calcium (Hospira Pty Limited)