DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12220EMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 4 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12225KMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 4 | $11984.25 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12226LMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 5 | $11984.25 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12228NMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 8 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12230QMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 8 | $11984.25 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 12231RMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 5 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15065XMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 15 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15066YMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 5 | $11984.25 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15072GMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 5 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15077MMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 15 | $11775.03 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15093JMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 15 | $11984.25 | $31.60 | $31.60 | 
DARATUMUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15094KMP | DARATUMUMAB Injection (PI, CMI) 
  | 
                  1920 mg | 15 | $11984.25 | $31.60 | $31.60 | 
- Legend
 - MPMedical Practitioner
 




