IMATINIB
imatinib 400 mg tablet, 30
IMATINIB (9179D)
9179D
Manner of administration:Oral
Restriction
Indication: Aggressive systemic mastocytosis with eosinophilia
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $189.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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