Hospital Medicines List

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1 results showing for: 'glatiramer acetate'

  • Restricted. Inj 40 mg prefilled syringe - 5% DV Oct-22 to 2025 (PSS)
    • Brand Copaxone
    • Pharmacode2545349
    • Price $1137.48
    • Measure / Qty per 12

Note: Treatment on two or more funded multiple sclerosis treatments simultaneously is not permitted.

RS1993 - Multiple Sclerosis
  • Rectangle page icon symoblising a PDF. PDF
  • Two duplicate pages icon. Click to copy
  • Restriction. Restriction
  • HSS Hospital Supply Status
  • PSS Principal Supply Status
  • dv DV Limit Gives the maximum volume that can be purchased of other brands