GLOFITAMAB
|
|
|
|
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 15266LMP | GLOFITAMAB Injection (PI, CMI)
|
10000 mcg | 0 | $5,476.73 | $25.00 | $25.00 |
- Legend
- MPMedical Practitioner




