OMALIZUMAB
Source | S100 HSD Public |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10109CMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
1 | 1 | 7 | $410.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10110DMP | OMALIZUMAB omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI) |
1 | 1 | 7 | $221.57 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Public |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10118MMP | OMALIZUMAB omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI) |
1 | 1 | 7 | $205.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10122RMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
1 | 1 | 7 | $434.77 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10956PMP | OMALIZUMAB omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI) |
1 | 1 | 6 | $221.57 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Public |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10967FMP | OMALIZUMAB omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI) |
1 | 1 | 6 | $205.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10968GMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
1 | 1 | 6 | $434.77 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Public |
Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10973MMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
1 | 1 | 6 | $410.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
11163MMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
2 | 2 | 5 | $861.17 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Public |
Body System | DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
11168TMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
2 | 2 | 5 | $820.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Private |
Body System | DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
11175EMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
2 | 2 | 2 | $861.17 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
OMALIZUMAB
Source | S100 HSD Public |
Body System | DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
11176FMP | OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL syringe (PI, CMI) |
2 | 2 | 2 | $820.00 | $31.60 | $31.60 |
Available brands | |||||||
Xolair |
- Legend
- MPMedical Practitioner