TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10383LMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $686.45 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10391XMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $831.87 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10401KMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $663.48 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10402LMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $857.19 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10581XMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $831.87 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10588GMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $663.48 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10589HMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $857.19 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10597RMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $686.45 | $31.60 | $31.60 |
TRASTUZUMAB
| Source | General Schedule |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10682FMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1609.37 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
| Source | Section 100 (CT) |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10743KMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1470.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
| Source | General Schedule |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10798HMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $1609.37 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
| Source | General Schedule |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10803NMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1609.37 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
| Source | Section 100 (CT) |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10811BMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $1470.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
| Source | Section 100 (CT) |
| Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10817HMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1470.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Herceptin SC |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4632TMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $461.55 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4639EMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $315.04 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4650RMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $831.87 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4703MMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $663.48 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7264HMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $481.69 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7265JMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $333.13 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7266KMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $857.19 | $31.60 | $31.60 |
TRASTUZUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7267LMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $686.45 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner
