FARICIMAB

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS
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
13177MMP FARICIMAB
faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)
1 1 5 $934.08 $31.60 $31.60
Available brands
Vabysmo
space

FARICIMAB

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS
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
13183WMP FARICIMAB
faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)
1 1 2 $934.08 $31.60 $31.60
Available brands
Vabysmo
space

FARICIMAB

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS
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
13195LMP FARICIMAB
faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)
1 1 2 $934.08 $31.60 $31.60
Available brands
Vabysmo
space

FARICIMAB

Source General Schedule
Body System SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS
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
13198PMP FARICIMAB
faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)
1 1 5 $934.08 $31.60 $31.60
Available brands
Vabysmo
space


  • Legend
  • MPMedical Practitioner