CHLORMETHINE
Manner of administration:Application
Restriction
Indication: Mycosis fungoides cutaneous T-cell lymphoma
Treatment phase: Initial treatment
Restriction
Indication: Mycosis fungoides cutaneous T-cell lymphoma
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 2 | # of repeats: 5 | DPMQ: $3,407.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Ledaga | |||||