PRALATREXATE

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11271FMP PRALATREXATE
Injection (PI, CMI)
Available brands
Folotyn
(pralatrexate 20 mg/mL injection, 1 mL vial)
80 mg 5 $4549.74 $42.50 $42.50
space

PRALATREXATE

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11272GMP PRALATREXATE
Injection (PI, CMI)
Available brands
Folotyn
(pralatrexate 20 mg/mL injection, 1 mL vial)
80 mg 11 $4447.07 $42.50 $42.50
space

PRALATREXATE

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11278NMP PRALATREXATE
Injection (PI, CMI)
Available brands
Folotyn
(pralatrexate 20 mg/mL injection, 1 mL vial)
80 mg 11 $4549.74 $42.50 $42.50
space

PRALATREXATE

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11293JMP PRALATREXATE
Injection (PI, CMI)
Available brands
Folotyn
(pralatrexate 20 mg/mL injection, 1 mL vial)
80 mg 5 $4447.07 $42.50 $42.50
space


  • Legend
  • MPMedical Practitioner