NETUPITANT + PALONOSETRON

NETUPITANT + PALONOSETRON (10714X)

netupitant 300 mg + palonosetron 500 microgram capsule, 1
10714X
Body System:
Manner of administration:Oral
Section 100 (CT)
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14443)

Indication: Nausea and vomiting
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: 5 DPMQ: $81.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Akynzeo

NETUPITANT + PALONOSETRON (10731T)

netupitant 300 mg + palonosetron 500 microgram capsule, 1
10731T
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14443)

Indication: Nausea and vomiting
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: 5 DPMQ: $101.59 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Akynzeo