POMALIDOMIDE

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
10386PMP POMALIDOMIDE
pomalidomide 4 mg capsule, 21 (PI, CMI)
1 21 0 $10547.74 $41.00 $41.00
Available brands
Pomalyst
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POMALIDOMIDE

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
10387QMP POMALIDOMIDE
pomalidomide 4 mg capsule, 21 (PI, CMI)
1 21 0 $10500.00 $41.00 $41.00
Available brands
Pomalyst
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POMALIDOMIDE

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
10406QMP POMALIDOMIDE
pomalidomide 3 mg capsule, 21 (PI, CMI)
1 21 0 $10500.00 $41.00 $41.00
Available brands
Pomalyst
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POMALIDOMIDE

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
10417GMP POMALIDOMIDE
pomalidomide 3 mg capsule, 21 (PI, CMI)
1 21 0 $10547.74 $41.00 $41.00
Available brands
Pomalyst
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  • Legend
  • MPMedical Practitioner