INTERFERON ALFA-2A

Source S100 HSD Community Access
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
10317BMPNP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $763.14 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source S100 HSD Community Access
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
10369RMPNP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $2225.64 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5759DMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $726.30 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5762GMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $2178.00 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source Section 100 (CT)
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5945XMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
15 15 4 $363.15 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source Section 100 (CT)
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5946YMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
15 15 5 $363.15 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source Section 100 (CT)
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5949DMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
5 5 5 $363.00 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source Section 100 (CT)
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
5998QMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
5 5 4 $363.00 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
6210WMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $763.14 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
6213BMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
30 30 5 $2225.64 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
8180MMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
15 15 4 $416.94 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
8181NMP INTERFERON ALFA-2A
interferon alfa-2a 3 million units (11.111 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
15 15 5 $416.94 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
8184RMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
5 5 5 $416.84 $41.30 $41.30
Available brands
Roferon-A
space

INTERFERON ALFA-2A

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS
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
8553EMP INTERFERON ALFA-2A
interferon alfa-2a 9 million units (33.333 microgram)/0.5 mL injection, 0.5 mL syringe (PI, CMI)
5 5 4 $416.84 $41.30 $41.30
Available brands
Roferon-A
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner