PERTUZUMAB

pertuzumab 420 mg/14 mL injection, 14 mL vial

PERTUZUMAB (10308M)

pertuzumab 420 mg/14 mL injection, 14 mL vial
10308M
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required

Restriction

Indication: Metastatic (Stage IV) HER2 positive breast cancer
Treatment phase: Continuing treatment
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 420 mg # of repeats: 3 DPMA: $2,948.53 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Perjeta
(pertuzumab 420 mg/14 mL injection, 14 mL vial)