DEFERASIROX

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
11238LMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 2 $860.13 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space

DEFERASIROX

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
11239MMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 2 $818.70 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space

DEFERASIROX

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
11240NMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 5 $818.70 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space

DEFERASIROX

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
11244TMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 2 $860.13 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space

DEFERASIROX

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
5655PMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 2 $818.70 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space

DEFERASIROX

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
6500DMP DEFERASIROX
deferasirox 250 mg dispersible tablet, 28 (PI, CMI)
6 168 5 $860.13 $31.60 $31.60
Available brands
Deferasirox Junoa
Pharmacor Deferasiroxa
space


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