METHOXSALEN

methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials

METHOXSALEN (12154Q)

methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials
12154Q
Manner of administration:Extracorporeal Circulation
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  10988

Indication: Erythrodermic stage III-IVa T4 M0 Cutaneous T-cell lymphoma
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 0.08333333 Max qty units: 1 # of repeats: 5 DPMQ: $198.49 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Uvadex