ARSENIC

ARSENIC (10691Q)

arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials
10691Q
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6018)

Indication: Acute promyelocytic leukaemia
Treatment phase: Induction and consolidation treatment
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 18 mg # of repeats: 140 DPMA: $185.91 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Arsenic Trioxide Accord
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Arsenic Trioxide Juno
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Phenasen
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)

ARSENIC (10699D)

arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials
10699D
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6018)

Indication: Acute promyelocytic leukaemia
Treatment phase: Induction and consolidation treatment
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 18 mg # of repeats: 140 DPMA: $232.90 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Arsenic Trioxide Accord
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Arsenic Trioxide Juno
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Phenasen
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)

ARSENIC (4371C)

arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials
4371C
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4793)

Indication: Acute promyelocytic leukaemia
Treatment phase: Induction and consolidation treatment

Restriction (Streamlined authority code: 5997)

Indication: Acute promyelocytic leukaemia
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 18 mg # of repeats: 89 DPMA: $185.91 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Arsenic Trioxide Accord
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Arsenic Trioxide Juno
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Phenasen
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)

ARSENIC (7241D)

arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials
7241D
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4793)

Indication: Acute promyelocytic leukaemia
Treatment phase: Induction and consolidation treatment

Restriction (Streamlined authority code: 5997)

Indication: Acute promyelocytic leukaemia
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 18 mg # of repeats: 89 DPMA: $232.90 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Arsenic Trioxide Accord
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Arsenic Trioxide Juno
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)
Phenasen
(arsenic trioxide 10 mg/10 mL injection, 10 x 10 mL vials)