LIPEGFILGRASTIM
lipegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe
LIPEGFILGRASTIM (10931H)
10931H
Body System:
Manner of administration:Injection
Restriction 9224
Indication: Chemotherapy-induced neutropenia
Restriction 9322
Indication: Chemotherapy-induced neutropenia
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 11 | DPMQ: $1,165.13 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Lonquex | |||||