FLUOROURACIL
Manner of administration:Injection
Restriction
Indication: Patients requiring administration of fluorouracil by intravenous infusion
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 5500 mg | # of repeats: 11 | DPMA: $114.07 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)
|
||||
Manner of administration:Injection
Restriction
Indication: Patients requiring administration of fluorouracil by intravenous injection
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 1000 mg | # of repeats: 23 | DPMA: $97.07 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)
|
||||
Manner of administration:Injection
Restriction
Indication: Patients requiring administration of fluorouracil by intravenous infusion
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 5500 mg | # of repeats: 11 | DPMA: $160.06 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)
|
||||
Manner of administration:Injection
Restriction
Indication: Patients requiring administration of fluorouracil by intravenous injection
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 1000 mg | # of repeats: 23 | DPMA: $142.82 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Fluorouracil Accord
(fluorouracil 500 mg/10 mL injection, 10 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 1 g/20 mL injection, 20 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 2.5 g/50 mL injection, 50 mL vial)
|
||||
| Fluorouracil Accord
(fluorouracil 5 g/100 mL injection, 100 mL vial)
|
||||