IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10170GMP | IVACAFTOR ivacaftor 150 mg tablet, 56 (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 10175MMP | IVACAFTOR ivacaftor 150 mg tablet, 56 (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 11097CMP | IVACAFTOR ivacaftor 50 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 11098DMP | IVACAFTOR ivacaftor 75 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 11105LMP | IVACAFTOR ivacaftor 50 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 11109QMP | IVACAFTOR ivacaftor 75 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14147NMP | IVACAFTOR ivacaftor 25 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14148PMP | IVACAFTOR ivacaftor 50 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14153XMP | IVACAFTOR ivacaftor 150 mg tablet, 56 (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14155BMP | IVACAFTOR ivacaftor 25 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14156CMP | IVACAFTOR ivacaftor 25 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14157DMP | IVACAFTOR ivacaftor 75 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14158EMP | IVACAFTOR ivacaftor 50 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14165MMP | IVACAFTOR ivacaftor 25 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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|
|
| 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 |
|---|---|---|---|---|---|---|---|
| 14167PMP | IVACAFTOR ivacaftor 75 mg granules, 56 sachets (PI, CMI) |
1 | 56 | 5 | $21375.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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| 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 |
|---|---|---|---|---|---|---|---|
| 14169RMP | IVACAFTOR ivacaftor 150 mg tablet, 56 (PI, CMI) |
1 | 56 | 5 | $21423.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Kalydeco |
- Legend
- MPMedical Practitioner
