SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12235YMP SELEXIPAG
selexipag 400 microgram tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12240FMP SELEXIPAG
selexipag 1.4 mg tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12241GMP SELEXIPAG
selexipag 200 microgram tablet, 140 (PI, CMI)
1 140 2 $8097.82 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12242HMP SELEXIPAG
selexipag 200 microgram tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12245LMP SELEXIPAG
selexipag 1 mg tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12246MMP SELEXIPAG
selexipag 800 microgram tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12247NMP SELEXIPAG
selexipag 200 microgram tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12248PMP SELEXIPAG
selexipag 600 microgram tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12249QMP SELEXIPAG
selexipag 800 microgram tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12251TMP SELEXIPAG
selexipag 1.4 mg tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12252WMP SELEXIPAG
selexipag 1.2 mg tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12253XMP SELEXIPAG
selexipag 800 microgram tablet, 60 (PI, CMI)
1 60 3 $3497.82 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12257DMP SELEXIPAG
selexipag 1.2 mg tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12258EMP SELEXIPAG
selexipag 200 microgram tablet, 140 (PI, CMI)
1 140 2 $8050.00 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12259FMP SELEXIPAG
selexipag 1 mg tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12260GMP SELEXIPAG
selexipag 400 microgram tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12263KMP SELEXIPAG
selexipag 600 microgram tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Private
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12264LMP SELEXIPAG
selexipag 1.6 mg tablet, 60 (PI, CMI)
1 60 5 $3497.82 $42.50 $42.50
Available brands
Uptravi
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SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12265MMP SELEXIPAG
selexipag 1.6 mg tablet, 60 (PI, CMI)
1 60 5 $3450.00 $42.50 $42.50
Available brands
Uptravi
space

SELEXIPAG

Source S100 HSD Public
Body System CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES
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
12266NMP SELEXIPAG
selexipag 800 microgram tablet, 60 (PI, CMI)
1 60 3 $3450.00 $42.50 $42.50
Available brands
Uptravi
space


  • Legend
  • MPMedical Practitioner