PEGCETACOPLAN

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
13175KMP PEGCETACOPLAN
pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $4343.86 $31.60 $31.60
Available brands
Empaveli
space

PEGCETACOPLAN

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
13180QMP PEGCETACOPLAN
pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $4343.86 $31.60 $31.60
Available brands
Empaveli
space

PEGCETACOPLAN

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
13185YMP PEGCETACOPLAN
pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (PI, CMI)
1 1 5 $4343.86 $31.60 $31.60
Available brands
Empaveli
space


  • Legend
  • MPMedical Practitioner