CETUXIMAB
|
|
|
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 10262DMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 18 | $3045.00 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 10265GMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 18 | $3132.03 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12816MMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3045.00 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12817NMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3132.03 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12820RMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3045.00 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12821TMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3132.03 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 4312YMP | CETUXIMAB Injection (PI, CMI)
|
880 mg | 0 | $2507.97 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 4435KMP | CETUXIMAB Injection (PI, CMI)
|
550 mg | 5 | $1702.38 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 4436LMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3045.00 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 4731BMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3045.00 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 7223EMP | CETUXIMAB Injection (PI, CMI)
|
880 mg | 0 | $2587.48 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 7240CMP | CETUXIMAB Injection (PI, CMI)
|
550 mg | 5 | $1770.61 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 7242EMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3132.03 | $31.60 | $31.60 |
CETUXIMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 7273TMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3132.03 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner




