PAMIDRONATE DISODIUM

PAMIDRONATE DISODIUM (5669J)

pamidronate disodium 60 mg/10 mL injection, 10 mL vial
5669J
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4433)

Indication: Hypercalcaemia of malignancy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 2 DPMQ: $55.26 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pamisol

PAMIDRONATE DISODIUM (5670K)

pamidronate disodium 90 mg/10 mL injection, 10 mL vial
5670K
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 4433)

Indication: Hypercalcaemia of malignancy

Restriction (Streamlined authority code: 5218)

Indication: Multiple myeloma

Restriction (Streamlined authority code: 5291)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 11 DPMQ: $82.89 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pamisol

PAMIDRONATE DISODIUM (6288Y)

pamidronate disodium 60 mg/10 mL injection, 10 mL vial
6288Y
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9234)

Indication: Hypercalcaemia of malignancy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 2 DPMQ: $68.14 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pamisol

PAMIDRONATE DISODIUM (6289B)

pamidronate disodium 90 mg/10 mL injection, 10 mL vial
6289B
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 9234)

Indication: Hypercalcaemia of malignancy

Restriction (Streamlined authority code: 9335)

Indication: Multiple myeloma

Restriction (Streamlined authority code: 9315)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 11 DPMQ: $95.77 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pamisol

PAMIDRONATE DISODIUM (8463K)

pamidronate disodium 60 mg/10 mL injection, 10 mL vial
8463K
Body System:
Manner of administration:Injection
General Schedule
Restricted Benefit

Restriction

Indication: Symptomatic Paget disease of bone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $73.21 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pamisol