CYCLOPHOSPHAMIDE

Public
Chemotherapy Items for Public Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 2800 mg # of repeats: 17 DPMA: $141.02 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CYCLOPHOSPHAMIDE-REACH
(cyclophosphamide 500 mg injection, 1 vial)
CYCLOPHOSPHAMIDE-REACH
(cyclophosphamide 1 g injection, 1 vial)
Endoxan
(cyclophosphamide 1 g injection, 1 vial)
Endoxan
(cyclophosphamide 2 g injection, 1 vial)
Private
Chemotherapy Items for Private Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 2800 mg # of repeats: 17 DPMA: $187.39 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CYCLOPHOSPHAMIDE-REACH
(cyclophosphamide 500 mg injection, 1 vial)
CYCLOPHOSPHAMIDE-REACH
(cyclophosphamide 1 g injection, 1 vial)
Endoxan
(cyclophosphamide 1 g injection, 1 vial)
Endoxan
(cyclophosphamide 2 g injection, 1 vial)