EPOETIN ALFA

EPOETIN ALFA (5716W)

epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes
5716W
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: 12 # of repeats: 5 DPMQ: $790.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 6000

EPOETIN ALFA (6303R)

epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes
6303R
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: 12 # of repeats: 5 DPMQ: $831.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 6000