FOLLITROPIN BETA
follitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge
FOLLITROPIN BETA (6464F)
6464F
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: 5 | Max qty units: 5 | # of repeats: 0 | DPMQ: $1,374.33 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Puregon 900 IU/1.08 mL | |||||