BRENTUXIMAB VEDOTIN
|  | 
|  | 
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 15098PMP | BRENTUXIMAB VEDOTIN Injection (PI, CMI) 
 | 120 mg | 11 | $13357.98 | $31.60 | $31.60 | 
- Legend
- MPMedical Practitioner




