PEGINTERFERON ALFA-2A
peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes
PEGINTERFERON ALFA-2A (15045W)
15045W
Body System:
Manner of administration:Injection
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 4 | # of repeats: 5 | DPMQ: $1,304.19 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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