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 | $7828.17 | $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 | $7982.14 | $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 | $7982.14 | $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 | $7828.17 | $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 | $5249.19 | $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 | $5367.06 | $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 | $5249.19 | $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 | $5367.06 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner




