TRAMETINIB
trametinib 2 mg tablet, 30
TRAMETINIB (15057L)
15057L
Manner of administration:Oral
Restriction (Streamlined authority code: 17286)
Indication: Stage IV (metastatic) non-small cell lung cancer (NSCLC)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $7,158.16 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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