BECLOMETASONE + FORMOTEROL
beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate
6 microgram/actuation inhalation, 120 actuations
BECLOMETASONE + FORMOTEROL (12183F)
12183F
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15469)
Indication: 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: $37.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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