FLUDARABINE

FLUDARABINE (15144C)

fludarabine phosphate 50 mg/2 mL injection, 2 mL vial
15144C
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: 55 mg # of repeats: 29 DPMA: $2,491.23 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fludarabine Phosphate Injection, USP 50 mg/2 mL (Areva, USA)
(fludarabine phosphate 50 mg/2 mL injection, 2 mL vial)

FLUDARABINE (15145D)

fludarabine phosphate 50 mg/2 mL injection, 2 mL vial
15145D
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: 55 mg # of repeats: 29 DPMA: $2,570.50 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fludarabine Phosphate Injection, USP 50 mg/2 mL (Areva, USA)
(fludarabine phosphate 50 mg/2 mL injection, 2 mL vial)