POMALIDOMIDE

pomalidomide 4 mg capsule, 21
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Multiple myeloma
Treatment phase: Initial treatment - dual therapy in combination with dexamethasone

Restriction

Indication: Multiple myeloma
Treatment phase: Continuing treatment - dual therapy in combination with dexamethasone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 21 # of repeats: 0 DPMQ: $1,461.03 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pomalidomide Sandoz
Pomolide
pomalidomide 4 mg capsule, 21
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Multiple myeloma
Treatment phase: Initial treatment - dual therapy in combination with dexamethasone

Restriction

Indication: Multiple myeloma
Treatment phase: Continuing treatment - dual therapy in combination with dexamethasone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 21 # of repeats: 0 DPMQ: $1,412.15 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pomalidomide Sandoz
Pomolide