DARBEPOETIN ALFA

DARBEPOETIN ALFA (5647F)

darbepoetin alfa 60 microgram/0.3 mL injection, 0.3 mL pen device
5647F
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: 8 Max qty units: 8 # of repeats: 5 DPMQ: $1,018.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp SureClick

DARBEPOETIN ALFA (6490N)

darbepoetin alfa 60 microgram/0.3 mL injection, 0.3 mL pen device
6490N
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: 8 Max qty units: 8 # of repeats: 5 DPMQ: $1,067.52 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Aranesp SureClick