IPILIMUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
12304NMP | IPILIMUMAB Injection (PI, CMI)
|
120 mg | 4 | $16393.12 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner