VINCRISTINE

VINCRISTINE (4619D)

vincristine sulfate 1 mg/mL injection, 5 x 1 mL vials
4619D
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: 2 mg # of repeats: 7 DPMA: $127.69 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DBL Vincristine Sulfate
(vincristine sulfate 1 mg/mL injection, 5 x 1 mL vials)

VINCRISTINE (7262F)

vincristine sulfate 1 mg/mL injection, 5 x 1 mL vials
7262F
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: 2 mg # of repeats: 7 DPMA: $173.88 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
DBL Vincristine Sulfate
(vincristine sulfate 1 mg/mL injection, 5 x 1 mL vials)