DEGARELIX

degarelix 80 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Locally advanced (equivalent to stage C) or metastatic (equivalent to stage D) carcinoma of the prostate
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $364.11 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Firmagon 80mg