VINORELBINE

VINORELBINE (4620E)

4620E
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 70 mg # of repeats: 7 DPMA: $153.13 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Vinorelbine Ebewe
(vinorelbine 10 mg/mL injection, 1 mL vial)
Vinorelbine Ebewe
(vinorelbine 50 mg/5 mL injection, 5 mL vial)

VINORELBINE (7263G)

7263G
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 70 mg # of repeats: 7 DPMA: $199.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Vinorelbine Ebewe
(vinorelbine 10 mg/mL injection, 1 mL vial)
Vinorelbine Ebewe
(vinorelbine 50 mg/5 mL injection, 5 mL vial)

VINORELBINE (9009E)

vinorelbine 20 mg capsule, 1
9009E
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Advanced breast cancer

Restriction

Indication: Locally advanced or metastatic non-small cell lung cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 20 Max qty units: 20 # of repeats: 2 DPMQ: $867.48 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velabine

VINORELBINE (9010F)

vinorelbine 30 mg capsule, 1
9010F
Body System:
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Advanced breast cancer

Restriction

Indication: Locally advanced or metastatic non-small cell lung cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 16 Max qty units: 16 # of repeats: 2 DPMQ: $1,033.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Velabine