FOLLITROPIN BETA
follitropin beta 300 units/0.36 mL injection, 0.36 mL cartridge
FOLLITROPIN BETA (6335K)
6335K
Manner of administration:Injection
Restriction 5027
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: $198.96 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Puregon 300 IU/0.36 mL | |||||