IRINOTECAN

IRINOTECAN (4451G)

4451G
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: 800 mg # of repeats: 11 DPMA: $182.03 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
IRINOTECAN BAXTER
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
IRINOTECAN EUGIA
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
IRINOTECAN EUGIA
(irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial)
Irinotecan Accord
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
Irinotecan Accord
(irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial)

IRINOTECAN (7249M)

7249M
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: 800 mg # of repeats: 11 DPMA: $228.97 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
IRINOTECAN BAXTER
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
IRINOTECAN EUGIA
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
IRINOTECAN EUGIA
(irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial)
Irinotecan Accord
(irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial)
Irinotecan Accord
(irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial)