CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
10262DMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 18 | $3043.90 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
10265GMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 18 | $3129.93 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12816MMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3043.90 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12817NMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3129.93 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12820RMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3043.90 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12821TMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3129.93 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
4312YMP | CETUXIMAB Injection (PI, CMI)
|
880 mg | 0 | $2506.87 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
4435KMP | CETUXIMAB Injection (PI, CMI)
|
550 mg | 5 | $1701.28 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
4436LMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3043.90 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
4731BMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3043.90 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
7223EMP | CETUXIMAB Injection (PI, CMI)
|
880 mg | 0 | $2585.38 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
7240CMP | CETUXIMAB Injection (PI, CMI)
|
550 mg | 5 | $1768.51 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
7242EMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 0 | $3129.93 | $31.60 | $31.60 |
CETUXIMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
7273TMP | CETUXIMAB Injection (PI, CMI)
|
1100 mg | 11 | $3129.93 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner