PLERIXAFOR

plerixafor 24 mg/1.2 mL injection, 1.2 mL vial
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4549)

Indication: Mobilisation of haematopoietic stem cells
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $1,129.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
PLERIXAFOR EUGIA
Plerixafor ARX
plerixafor 24 mg/1.2 mL injection, 1.2 mL vial
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9329)

Indication: Mobilisation of haematopoietic stem cells
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $1,178.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
PLERIXAFOR EUGIA
Plerixafor ARX