TRASTUZUMAB EMTANSINE
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| 
                        
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 10281DMP | TRASTUZUMAB EMTANSINE Injection (PI, CMI) 
  | 
                  450 mg | 8 | $7417.40 | $31.60 | $31.60 | 
TRASTUZUMAB EMTANSINE
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 10282EMP | TRASTUZUMAB EMTANSINE Injection (PI, CMI) 
  | 
                  450 mg | 8 | $7271.22 | $31.60 | $31.60 | 
TRASTUZUMAB EMTANSINE
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 11951BMP | TRASTUZUMAB EMTANSINE Injection (PI, CMI) 
  | 
                  450 mg | 6 | $7271.22 | $31.60 | $31.60 | 
TRASTUZUMAB EMTANSINE
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 11956GMP | TRASTUZUMAB EMTANSINE Injection (PI, CMI) 
  | 
                  450 mg | 6 | $7417.40 | $31.60 | $31.60 | 
- Legend
 - MPMedical Practitioner
 




