MIDOSTAURIN

midostaurin 25 mg capsule, 112
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Maintenance therapy - 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: 112 # of repeats: 2 DPMQ: $18,422.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt
midostaurin 25 mg capsule, 56
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Induction / Consolidation therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 2 DPMQ: $9,260.25 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt
midostaurin 25 mg capsule, 112
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Maintenance therapy - 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: 112 # of repeats: 2 DPMQ: $18,471.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt
midostaurin 25 mg capsule, 112
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Maintenance therapy - 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: 112 # of repeats: 2 DPMQ: $18,471.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt
midostaurin 25 mg capsule, 112
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Maintenance therapy - 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: 112 # of repeats: 2 DPMQ: $18,422.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt
midostaurin 25 mg capsule, 56
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Acute Myeloid Leukaemia
Treatment phase: Induction / Consolidation therapy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 2 DPMQ: $9,211.37 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rydapt