BENDAMUSTINE
Manner of administration:Injection
Restriction (Streamlined authority code: 7972)
Indication: Previously untreated stage III or IV mantle cell lymphoma
Treatment phase: Induction treatment
Restriction (Streamlined authority code: 7943)
Indication: Previously untreated stage II bulky or stage III or IV indolent non-Hodgkin's lymphoma
Treatment phase: Induction treatment
Restriction (Streamlined authority code: 7944)
Indication: Follicular lymphoma
Treatment phase: Re-induction treatment
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 200 mg | # of repeats: 11 | DPMA: $208.19 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| BENDAMUSTINE EUGIA
(bendamustine hydrochloride 25 mg injection, 1 vial)
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| BENDAMUSTINE EUGIA
(bendamustine hydrochloride 100 mg injection, 1 vial)
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| BENDAMUSTINE HYDROCHLORIDE MEDSURGE
(bendamustine hydrochloride 25 mg injection, 1 vial)
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| BENDAMUSTINE HYDROCHLORIDE MEDSURGE
(bendamustine hydrochloride 100 mg injection, 1 vial)
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| Bendamustine Sandoz
(bendamustine hydrochloride 25 mg injection, 1 vial)
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| Bendamustine Sandoz
(bendamustine hydrochloride 100 mg injection, 1 vial)
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| Bendamustine Viatris
(bendamustine hydrochloride 25 mg injection, 1 vial)
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| Bendamustine Viatris
(bendamustine hydrochloride 100 mg injection, 1 vial)
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Manner of administration:Injection
Restriction (Streamlined authority code: 7972)
Indication: Previously untreated stage III or IV mantle cell lymphoma
Treatment phase: Induction treatment
Restriction (Streamlined authority code: 7943)
Indication: Previously untreated stage II bulky or stage III or IV indolent non-Hodgkin's lymphoma
Treatment phase: Induction treatment
Restriction (Streamlined authority code: 7944)
Indication: Follicular lymphoma
Treatment phase: Re-induction treatment
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 200 mg | # of repeats: 11 | DPMA: $255.46 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| BENDAMUSTINE EUGIA
(bendamustine hydrochloride 25 mg injection, 1 vial)
|
||||
| BENDAMUSTINE EUGIA
(bendamustine hydrochloride 100 mg injection, 1 vial)
|
||||
| BENDAMUSTINE HYDROCHLORIDE MEDSURGE
(bendamustine hydrochloride 25 mg injection, 1 vial)
|
||||
| BENDAMUSTINE HYDROCHLORIDE MEDSURGE
(bendamustine hydrochloride 100 mg injection, 1 vial)
|
||||
| Bendamustine Sandoz
(bendamustine hydrochloride 25 mg injection, 1 vial)
|
||||
| Bendamustine Sandoz
(bendamustine hydrochloride 100 mg injection, 1 vial)
|
||||
| Bendamustine Viatris
(bendamustine hydrochloride 25 mg injection, 1 vial)
|
||||
| Bendamustine Viatris
(bendamustine hydrochloride 100 mg injection, 1 vial)
|
||||