PEGVISOMANT
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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 |
|---|---|---|---|---|---|---|---|
| 11166QMP | PEGVISOMANT pegvisomant 20 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack (PI, CMI) |
4 | 4 | 0 | $559.36 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
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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 |
|---|---|---|---|---|---|---|---|
| 11167RMP | PEGVISOMANT pegvisomant 10 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $4018.52 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
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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 |
|---|---|---|---|---|---|---|---|
| 11172BMP | PEGVISOMANT pegvisomant 15 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $4018.52 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
| Source | S100 HSD Public |
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES |
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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 |
|---|---|---|---|---|---|---|---|
| 11173CMP | PEGVISOMANT pegvisomant 15 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $3969.64 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
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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 |
|---|---|---|---|---|---|---|---|
| 11174DMP | PEGVISOMANT pegvisomant 20 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $4018.52 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
| Source | S100 HSD Public |
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES |
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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 |
|---|---|---|---|---|---|---|---|
| 11177GMP | PEGVISOMANT pegvisomant 20 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack (PI, CMI) |
4 | 4 | 0 | $529.32 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
| Source | S100 HSD Public |
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES |
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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 |
|---|---|---|---|---|---|---|---|
| 11179JMP | PEGVISOMANT pegvisomant 10 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $3969.64 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
PEGVISOMANT
| Source | S100 HSD Public |
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES |
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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 |
|---|---|---|---|---|---|---|---|
| 11181LMP | PEGVISOMANT pegvisomant 20 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI) |
1 | 1 | 5 | $3969.64 | $31.60 | $31.60 |
| Available brands | |||||||
| Somavert |
- Legend
- MPMedical Practitioner
