FOLLITROPIN ALFA
follitropin alfa 300 units (21.84 microgram)/0.48 mL injection, 0.48 mL pen device
FOLLITROPIN ALFA (6431L)
6431L
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: $188.64 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||