VEMURAFENIB
Manner of administration:Oral
Restriction (Streamlined authority code: 10157)
Indication: Unresectable Stage III or Stage IV malignant melanoma
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 224 | # of repeats: 3 | DPMQ: $6,691.84 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Zelboraf | |||||
Manner of administration:Oral
Restriction (Streamlined authority code: 17949)
Indication: Unresectable Stage III or Stage IV malignant melanoma
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 224 | # of repeats: 5 | DPMQ: $6,691.84 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Zelboraf | |||||