DARBEPOETIN ALFA

DARBEPOETIN ALFA (5641X)

darbepoetin alfa 50 microgram/0.5 mL injection, 4 x 0.5 mL syringes
5641X
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: $867.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp

DARBEPOETIN ALFA (6324W)

darbepoetin alfa 50 microgram/0.5 mL injection, 4 x 0.5 mL syringes
6324W
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: $911.06 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp