AVATROMBOPAG
| Source | S100 HSD Public |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 13313QMP | AVATROMBOPAG avatrombopag 20 mg tablet, 30 (PI, CMI) |
1 | 30 | 5 | $2,601.06 | $25.00 | $25.00 |
| Available brands | |||||||
| Doptelet |
AVATROMBOPAG
| Source | S100 HSD Private |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 13317XMP | AVATROMBOPAG avatrombopag 20 mg tablet, 30 (PI, CMI) |
1 | 30 | 5 | $2,649.94 | $25.00 | $25.00 |
| Available brands | |||||||
| Doptelet |
ELTROMBOPAG
| Source | S100 HSD Public |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 5825NMP | ELTROMBOPAG eltrombopag 25 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $1,228.12 | $25.00 | $25.00 |
| Available brands | |||||||
| Revolade |
ELTROMBOPAG
| Source | S100 HSD Public |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 5826PMP | ELTROMBOPAG eltrombopag 50 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $2,456.24 | $25.00 | $25.00 |
| Available brands | |||||||
| Revolade |
ELTROMBOPAG
| Source | S100 HSD Private |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 5827QMP | ELTROMBOPAG eltrombopag 25 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $1,277.00 | $25.00 | $25.00 |
| Available brands | |||||||
| Revolade |
ELTROMBOPAG
| Source | S100 HSD Private |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 5828RMP | ELTROMBOPAG eltrombopag 50 mg tablet, 28 (PI, CMI) |
1 | 28 | 5 | $2,505.12 | $25.00 | $25.00 |
| Available brands | |||||||
| Revolade |
ROMIPLOSTIM
| Source | S100 HSD Public |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 9696HMP | ROMIPLOSTIM romiplostim 250 microgram injection, 1 vial (PI, CMI) |
1 | 1 | 5 | $494.12 | $25.00 | $25.00 |
| Available brands | |||||||
| Nplate |
ROMIPLOSTIM
| Source | S100 HSD Private |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 9697JMP | ROMIPLOSTIM romiplostim 250 microgram injection, 1 vial (PI, CMI) |
1 | 1 | 5 | $522.76 | $25.00 | $25.00 |
| Available brands | |||||||
| Nplate |
ROMIPLOSTIM
| Source | S100 HSD Public |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 9698KMP | ROMIPLOSTIM romiplostim 500 microgram injection, 1 vial (PI, CMI) |
1 | 1 | 5 | $988.24 | $25.00 | $25.00 |
| Available brands | |||||||
| Nplate |
ROMIPLOSTIM
| Source | S100 HSD Private |
| Body System | BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS |
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| Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
|---|---|---|---|---|---|---|---|
| 9699LMP | ROMIPLOSTIM romiplostim 500 microgram injection, 1 vial (PI, CMI) |
1 | 1 | 5 | $1,036.65 | $25.00 | $25.00 |
| Available brands | |||||||
| Nplate |
- Legend
- MPMedical Practitioner
