SEVELAMER
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 9762)
Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $297.46 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 5530)
Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $277.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 5491)
Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 180 | # of repeats: 5 | DPMQ: $165.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 14872)
Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $367.36 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 14872)
Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $322.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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|
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Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 5491)
Indication: Hyperphosphataemia
Treatment phase: Maintenance following initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 180 | # of repeats: 5 | DPMQ: $188.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 5530)
Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $317.62 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 9762)
Indication: Hyperphosphataemia
Treatment phase: Initiation and stabilisation
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 360 | # of repeats: 5 | DPMQ: $339.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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