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
14963MMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 0 $1609.86 $31.60 $31.60
Available brands
Dupixenta
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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
14964NMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 3 $1609.86 $31.60 $31.60
Available brands
Dupixenta
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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
14965PMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 3 $1658.74 $31.60 $31.60
Available brands
Dupixenta
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DUPILUMAB

Source General Schedule
Body System DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS
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
14979JMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 5 $1755.99 $31.60 $31.60
Available brands
Dupixenta
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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
14988WMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 2 $1609.86 $31.60 $31.60
Available brands
Dupixenta
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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
15000LMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 0 $1658.74 $31.60 $31.60
Available brands
Dupixenta
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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
15022PMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL pen devices (PI, CMI)
1 2 2 $1658.74 $31.60 $31.60
Available brands
Dupixenta
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