DUPILUMAB
| Source | General Schedule | 
| Body System | DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS | 
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| 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 | 
|---|---|---|---|---|---|---|---|
| 12291XMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 5 | $1755.99 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Public | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
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                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 12309WMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 8 | $1609.86 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixent | 
DUPILUMAB
| Source | S100 HSD Private | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 12313CMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 8 | $1658.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixent | 
DUPILUMAB
| Source | S100 HSD Private | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 12316FMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 5 | $1658.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixent | 
DUPILUMAB
| Source | S100 HSD Public | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 12318HMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 5 | $1609.86 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixent | 
DUPILUMAB
| Source | S100 HSD Public | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 14961KMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 0 | $1609.86 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Private | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 14977GMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 0 | $1658.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Private | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 14999KMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 7 | $1658.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Public | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 15021NMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 5 | $1609.86 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Public | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 15041PMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 7 | $1609.86 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
DUPILUMAB
| Source | S100 HSD Private | 
| Body System | RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 15043RMP | DUPILUMAB dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)  | 
                  1 | 2 | 5 | $1658.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Dupixenta | 
- Legend
 - aBrand equivalent a
 - MPMedical Practitioner
 




