SELPERCATINIB
Selpercatinib 40 mg tablet, 56
SELPERCATINIB (15371B)
15371B
Manner of administration:Oral
Restriction (Streamlined authority code: 16270)
Indication: Locally advanced or metastatic non-small cell lung cancer
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 56 | # of repeats: 5 | DPMQ: $2,146.86 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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