ETOPOSIDE

ETOPOSIDE (1389D)

etoposide 100 mg capsule, 10
1389D
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 10 # of repeats: 0 DPMQ: $393.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Vepesid

ETOPOSIDE (1396L)

etoposide 50 mg capsule, 20
1396L
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 20 # of repeats: 0 DPMQ: $450.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Vepesid

ETOPOSIDE (4428C)

4428C
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 440 mg # of repeats: 14 DPMA: $284.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Etopophos
(etoposide phosphate 1.136 g (etoposide 1 g) injection, 1 vial)
Etoposide Ebewe
(etoposide 100 mg/5 mL injection, 5 x 5 mL vials)

ETOPOSIDE (7237X)

7237X
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 440 mg # of repeats: 14 DPMA: $333.10 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Etopophos
(etoposide phosphate 1.136 g (etoposide 1 g) injection, 1 vial)
Etoposide Ebewe
(etoposide 100 mg/5 mL injection, 5 x 5 mL vials)