EPOETIN ALFA

EPOETIN ALFA (5720C)

epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes
5720C
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: $420.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 3000

EPOETIN ALFA (6205N)

epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes
6205N
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: $445.88 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 3000