ELBASVIR + GRAZOPREVIR

Source S100 HSD Public
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
10978TMP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 2 $8400.00 $40.30 $40.30
Available brands
Zepatier
space

ELBASVIR + GRAZOPREVIR

Source S100 HSD Private
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
10979WMP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 2 $8447.39 $40.30 $40.30
Available brands
Zepatier
space

ELBASVIR + GRAZOPREVIR

Source S100 HSD Public
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
10986FMP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 3 $8400.00 $40.30 $40.30
Available brands
Zepatier
space

ELBASVIR + GRAZOPREVIR

Source S100 HSD Private
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
10991LMP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 3 $8447.39 $40.30 $40.30
Available brands
Zepatier
space

ELBASVIR + GRAZOPREVIR

Source General Schedule
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
11011MMPNP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 3 $8552.12 $40.30 $40.30
Available brands
Zepatier
space

ELBASVIR + GRAZOPREVIR

Source General Schedule
Body System ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS
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
11021CMPNP ELBASVIR + GRAZOPREVIR
elbasvir 50 mg + grazoprevir 100 mg tablet, 28 (PI, CMI)
1 28 2 $8552.12 $40.30 $40.30
Available brands
Zepatier
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner