TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10383LMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $731.70 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10391XMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $846.89 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10401KMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $708.44 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10402LMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $872.09 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10581XMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $846.89 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10588GMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $708.44 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10589HMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $872.09 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
10597RMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $731.70 | $31.60 | $31.60 |
TRASTUZUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10682FMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1609.04 | $31.60 | $31.60 |
Available brands | |||||||
Herceptin SC |
TRASTUZUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10743KMP | TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $1470.22 | $31.60 | $31.60 |
Available brands | |||||||
Herceptin SC |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4632TMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $468.51 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4639EMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $330.06 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4650RMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $846.89 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4703MMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $708.44 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7264HMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $488.42 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7265JMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $348.03 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7266KMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $872.09 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner