SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
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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 |
|---|---|---|---|---|---|---|---|
| 10086WMP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
6 | 180 | 0 | $4819.80 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 10087XMPNP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
6 | 180 | 5 | $4819.80 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 11676MMP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
1 | 30 | 0 | $833.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 11691HMPNP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
6 | 180 | 5 | $4819.80 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 12569MMPNP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
1 | 30 | 5 | $833.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
SAPROPTERIN
| Source | General Schedule |
| Body System | ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS |
|
|
|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 12579CMP | SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI) |
1 | 30 | 0 | $833.22 | $31.60 | $31.60 |
| Available brands | |||||||
| Kuvan |
- Legend
- MPMedical Practitioner
- NPNurse Practitioner




