SUCROFERRIC OXYHYDROXIDE

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
10230KMP SUCROFERRIC OXYHYDROXIDE
sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)
2 180 5 $752.24 $42.50 $42.50
Available brands
Velphoro
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SUCROFERRIC OXYHYDROXIDE

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
10233NMP SUCROFERRIC OXYHYDROXIDE
sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)
2 180 5 $715.78 $42.50 $42.50
Available brands
Velphoro
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SUCROFERRIC OXYHYDROXIDE

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
10250LMPNP SUCROFERRIC OXYHYDROXIDE
sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)
1 90 5 $411.18 $42.50 $42.50
Available brands
Velphoro
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  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner