TOPOTECAN

TOPOTECAN (4617B)

4617B
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: 3500 mcg # of repeats: 17 DPMA: $123.31 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Hycamtin
(topotecan 4 mg injection, 5 vials)
Topotecan Accord
(topotecan 4 mg/4 mL injection, 5 x 4 mL vials)

TOPOTECAN (7260D)

7260D
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: 3500 mcg # of repeats: 17 DPMA: $169.43 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Hycamtin
(topotecan 4 mg injection, 5 vials)
Topotecan Accord
(topotecan 4 mg/4 mL injection, 5 x 4 mL vials)