SUCROFERRIC OXYHYDROXIDE

SUCROFERRIC OXYHYDROXIDE (10230K)

sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90
10230K
Body System:
Manner of administration:Oral
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9762)

Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 180 # of repeats: 5 DPMQ: $716.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velphoro

SUCROFERRIC OXYHYDROXIDE (10233N)

sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90
10233N
Body System:
Manner of administration:Oral
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5530)

Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 180 # of repeats: 5 DPMQ: $680.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velphoro

SUCROFERRIC OXYHYDROXIDE (10250L)

sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90
10250L
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5491)

Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 90 # of repeats: 5 DPMQ: $392.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velphoro

SUCROFERRIC OXYHYDROXIDE (13985C)

sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90
13985C
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14872)

Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 180 # of repeats: 5 DPMQ: $776.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velphoro