BRENTUXIMAB VEDOTIN
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
10172JMP | BRENTUXIMAB VEDOTIN Injection (PI, CMI)
|
200 mg | 3 | $19015.48 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner