VORINOSTAT

vorinostat 100 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Cutaneous T-cell lymphoma
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 2 DPMQ: $4,249.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zolinza
vorinostat 100 mg capsule, 120
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Cutaneous T-cell lymphoma
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 120 # of repeats: 1 DPMQ: $4,249.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zolinza