EPOETIN ALFA

EPOETIN ALFA (5721D)

epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes
5721D
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: $535.14 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 4000

EPOETIN ALFA (6206P)

epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes
6206P
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: $565.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Eprex 4000