NUSINERSEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM
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
11363CMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $104500.00 $31.60 $31.60
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Public
Body System MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM
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
11378WMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $104500.00 $31.60 $31.60
Available brands
Spinraza
space


  • Legend
  • MPMedical Practitioner