DESFERRIOXAMINE
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 6394)
Indication: Disorders of erythropoiesis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 60 | Max qty units: 60 | # of repeats: 5 | DPMQ: $2,614.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| DBL Desferrioxamine Mesilate | |||||
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 6394)
Indication: Disorders of erythropoiesis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 40 | Max qty units: 400 | # of repeats: 5 | DPMQ: $5,555.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| DBL Desferrioxamine Mesilate | |||||
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 9696)
Indication: Disorders of erythropoiesis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 40 | Max qty units: 400 | # of repeats: 5 | DPMQ: $5,604.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| DBL Desferrioxamine Mesilate | |||||
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 9696)
Indication: Disorders of erythropoiesis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 60 | Max qty units: 60 | # of repeats: 5 | DPMQ: $2,663.88 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| DBL Desferrioxamine Mesilate | |||||