FUTIBATINIB

Futibatinib 4 mg tablet, 35

FUTIBATINIB (15401N)

Futibatinib 4 mg tablet, 35
15401N
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 18828)

Indication: Locally advanced or metastatic cholangiocarcinoma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 140 # of repeats: 5 DPMQ: $16,717.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lytgobi