SORAFENIB

sorafenib 200 mg tablet, 60
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Stage IV clear cell variant renal cell carcinoma (RCC)
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 2 DPMQ: $4,150.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nexavar
sorafenib 200 mg tablet, 60
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 7487)

Indication: Stage IV clear cell variant renal cell carcinoma (RCC)
Treatment phase: Continuing treatment beyond 3 months
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 5 DPMQ: $4,150.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nexavar
sorafenib 200 mg tablet, 60
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17504)

Indication: Advanced Barcelona Clinic Liver Cancer Stage B or Stage C hepatocellular carcinoma
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 17436)

Indication: Advanced Barcelona Clinic Liver Cancer Stage B or Stage C hepatocellular carcinoma
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 2 DPMQ: $4,150.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nexavar