IFOSFAMIDE

IFOSFAMIDE (4448D)

4448D
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: 4000 mg # of repeats: 19 DPMA: $244.19 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Holoxan
(ifosfamide 1 g injection, 1 vial)
Holoxan
(ifosfamide 2 g injection, 1 vial)

IFOSFAMIDE (7248L)

7248L
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: 4000 mg # of repeats: 19 DPMA: $292.02 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Holoxan
(ifosfamide 1 g injection, 1 vial)
Holoxan
(ifosfamide 2 g injection, 1 vial)