OXALIPLATIN

OXALIPLATIN (4542C)

4542C
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: 300 mg # of repeats: 11 DPMA: $136.13 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
OXALIPLATIN BAXTER
(oxaliplatin 100 mg/20 mL injection, 20 mL vial)
Oxaliplatin Accord
(oxaliplatin 100 mg/20 mL injection, 20 mL vial)
Oxaliplatin SUN
(oxaliplatin 200 mg/40 mL injection, 40 mL vial)

OXALIPLATIN (7253R)

7253R
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: 300 mg # of repeats: 11 DPMA: $182.43 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
OXALIPLATIN BAXTER
(oxaliplatin 100 mg/20 mL injection, 20 mL vial)
Oxaliplatin Accord
(oxaliplatin 100 mg/20 mL injection, 20 mL vial)
Oxaliplatin SUN
(oxaliplatin 200 mg/40 mL injection, 40 mL vial)