ESKETAMINE

esketamine 28 mg/2 actuations nasal spray, 2 actuations
Manner of administration:Nasal
Public
S100 HSD Public
Authority Required

Restriction

Indication: Treatment resistant major depression
Treatment phase: Non-induction treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 4 # of repeats: 5 DPMQ: $1,176.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spravato