FLUDARABINE

FLUDARABINE (4393F)

4393F
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: $211.59 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fludarabine Ebewe
(fludarabine phosphate 50 mg/2 mL injection, 5 x 2 mL vials)
Fludarabine Juno
(fludarabine phosphate 50 mg injection, 1 vial)

FLUDARABINE (7233Q)

7233Q
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: $258.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Fludarabine Ebewe
(fludarabine phosphate 50 mg/2 mL injection, 5 x 2 mL vials)
Fludarabine Juno
(fludarabine phosphate 50 mg injection, 1 vial)