PERTUZUMAB

pertuzumab 420 mg/14 mL injection, 14 mL vial

PERTUZUMAB (15369X)

pertuzumab 420 mg/14 mL injection, 14 mL vial
15369X
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required

Restriction

Indication: Early HER2 positive breast cancer
Treatment phase: Continuing treatment
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 420 mg # of repeats: 4 DPMA: $2,951.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Perjeta
(pertuzumab 420 mg/14 mL injection, 14 mL vial)