CARFILZOMIB
Manner of administration:Injection
Restriction (Streamlined authority code: 12934)
Indication: Multiple myeloma
Treatment phase: Initial treatment - twice weekly treatment regimen
Restriction (Streamlined authority code: 12930)
Indication: Multiple myeloma
Treatment phase: Continuing treatment - twice weekly treatment regimen
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 120 mg | # of repeats: 17 | DPMA: $2,502.21 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
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| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
Manner of administration:Injection
Restriction (Streamlined authority code: 12934)
Indication: Multiple myeloma
Treatment phase: Initial treatment - twice weekly treatment regimen
Restriction (Streamlined authority code: 12930)
Indication: Multiple myeloma
Treatment phase: Continuing treatment - twice weekly treatment regimen
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 120 mg | # of repeats: 17 | DPMA: $2,581.64 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
Manner of administration:Injection
Restriction (Streamlined authority code: 12694)
Indication: Multiple myeloma
Treatment phase: Initial treatment - once weekly treatment regimen
Restriction (Streamlined authority code: 12849)
Indication: Multiple myeloma
Treatment phase: Continuing treatment - once weekly treatment regimen
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 160 mg | # of repeats: 8 | DPMA: $3,396.56 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
Manner of administration:Injection
Restriction (Streamlined authority code: 12694)
Indication: Multiple myeloma
Treatment phase: Initial treatment - once weekly treatment regimen
Restriction (Streamlined authority code: 12849)
Indication: Multiple myeloma
Treatment phase: Continuing treatment - once weekly treatment regimen
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 160 mg | # of repeats: 8 | DPMA: $3,305.88 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
Manner of administration:Injection
Restriction (Streamlined authority code: 14389)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Initial treatment for Cycles 1 to 3
Restriction (Streamlined authority code: 14363)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Continuing treatment for Cycles 3 to 12
Restriction (Streamlined authority code: 14364)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Continuing treatment for Cycles 13 onwards
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 60 mg | # of repeats: 17 | DPMA: $1,359.27 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
Manner of administration:Injection
Restriction (Streamlined authority code: 14389)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Initial treatment for Cycles 1 to 3
Restriction (Streamlined authority code: 14363)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Continuing treatment for Cycles 3 to 12
Restriction (Streamlined authority code: 14364)
Indication: Relapsed and/or refractory multiple myeloma
Treatment phase: Continuing treatment for Cycles 13 onwards
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 60 mg | # of repeats: 17 | DPMA: $1,296.72 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Kyprolis
(carfilzomib 10 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 30 mg injection, 1 vial)
|
||||
| Kyprolis
(carfilzomib 60 mg injection, 1 vial)
|
||||
