GILTERITINIB

gilteritinib 40 mg tablet, 84
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Relapsed or refractory Acute Myeloid Leukaemia
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: 84 # of repeats: 0 DPMQ: $25,145.93 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xospata
gilteritinib 40 mg tablet, 84
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Relapsed or refractory Acute Myeloid Leukaemia
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: 84 # of repeats: 4 DPMQ: $25,145.93 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xospata