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 $110000.00 $42.50 $42.50
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 $110000.00 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
11472TMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110047.82 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
11476BMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $110047.82 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
12176WMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110047.82 $42.50 $42.50
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
12177XMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110000.00 $42.50 $42.50
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
12972RMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110000.00 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
13045NMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $110047.82 $42.50 $42.50
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
13052YMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110000.00 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
13064NMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110047.82 $42.50 $42.50
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
13068TMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $110000.00 $42.50 $42.50
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
13083NMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110000.00 $42.50 $42.50
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
13084PMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $110000.00 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
13091BMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 0 $110047.82 $42.50 $42.50
Available brands
Spinraza
space

NUSINERSEN

Source S100 HSD Private
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
13111CMP NUSINERSEN
nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI)
1 1 3 $110047.82 $42.50 $42.50
Available brands
Spinraza
space


  • Legend
  • MPMedical Practitioner