MYCOPHENOLATE
mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL
MYCOPHENOLATE (8651H)
8651H
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $222.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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