LENVATINIB

lenvatinib 10 mg capsule, 30
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17864)

Indication: Locally advanced or metastatic differentiated thyroid cancer
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 17865)

Indication: Locally advanced or metastatic differentiated thyroid cancer
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: 60 # of repeats: 2 DPMQ: $4,162.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lenvima
lenvatinib 10 mg capsule, 30
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17786)

Indication: Stage IV clear cell variant renal cell carcinoma (RCC)
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 17860)

Indication: Stage IV clear cell variant renal cell carcinoma (RCC)
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: 60 # of repeats: 2 DPMQ: $4,162.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lenvima
lenvatinib 10 mg capsule, 30
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17943)

Indication: Advanced, metastatic or recurrent endometrial carcinoma
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 18017)

Indication: Advanced, metastatic or recurrent endometrial 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: 60 # of repeats: 2 DPMQ: $4,162.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lenvima