PERTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
10267JMP | PERTUZUMAB Injection (PI, CMI)
|
840 mg | 0 | $5926.12 | $31.60 | $31.60 |
PERTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
10308MMP | PERTUZUMAB Injection (PI, CMI)
|
420 mg | 3 | $3091.52 | $31.60 | $31.60 |
PERTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
10333WMP | PERTUZUMAB Injection (PI, CMI)
|
420 mg | 3 | $3007.37 | $31.60 | $31.60 |
PERTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
10334XMP | PERTUZUMAB Injection (PI, CMI)
|
840 mg | 0 | $6051.13 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner