PEGFILGRASTIM

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
6363XMP PEGFILGRASTIM
pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (PI, CMI)
1 1 11 $1222.29 $39.50 $39.50
Available brands
Neulastaa
Ristempaa
space

PEGFILGRASTIM

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
9514RMP PEGFILGRASTIM
pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (PI, CMI)
1 1 11 $1175.00 $39.50 $39.50
Available brands
Neulastaa
Ristempaa
space


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