AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11671GMP | AVELUMAB Injection (PI, CMI)
|
1200 mg | 11 | $8232.78 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11679QMP | AVELUMAB Injection (PI, CMI)
|
1200 mg | 8 | $8390.07 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11685BMP | AVELUMAB Injection (PI, CMI)
|
1200 mg | 11 | $8390.07 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11695MMP | AVELUMAB Injection (PI, CMI)
|
1200 mg | 8 | $8232.78 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
13122PMP | AVELUMAB Injection (PI, CMI)
|
800 mg | 7 | $5518.06 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
13123QMP | AVELUMAB Injection (PI, CMI)
|
800 mg | 7 | $5637.35 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
13126WMP | AVELUMAB Injection (PI, CMI)
|
800 mg | 11 | $5518.06 | $31.60 | $31.60 |
AVELUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
13132EMP | AVELUMAB Injection (PI, CMI)
|
800 mg | 11 | $5637.35 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner