DARBEPOETIN ALFA

DARBEPOETIN ALFA (5637Q)

darbepoetin alfa 10 microgram/0.4 mL injection, 4 x 0.4 mL syringes
5637Q
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6294)

Indication: Anaemia associated with intrinsic renal disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 8 # of repeats: 5 DPMQ: $224.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp

DARBEPOETIN ALFA (6320P)

darbepoetin alfa 10 microgram/0.4 mL injection, 4 x 0.4 mL syringes
6320P
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9688)

Indication: Anaemia associated with intrinsic renal disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 8 # of repeats: 5 DPMQ: $242.22 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp