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
11499FMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 5 $181.62 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
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
11519GMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 2 $181.62 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
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
11534CMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 2 $181.62 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
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
11545PMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 5 $197.55 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
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
11548TMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 2 $197.55 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
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
11558HMP DEFERASIROX
deferasirox 90 mg tablet, 30 (PI, CMI)
6 180 2 $197.55 $31.60 $31.60
Available brands
DEFERASIROX-TEVAa
Deferasirox ARXa
Deferasirox Sandoza
Eferasa
Jadenua
Pharmacor Deferasirox FCa
space


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