BRENTUXIMAB VEDOTIN
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| 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




