TIOTROPIUM

tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations

TIOTROPIUM (11043F)

tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations
11043F
Manner of administration:Inhalation By Mouth
General Schedule
Restricted Benefit

Restriction

Indication: Severe asthma
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: $44.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spiriva Respimat