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 |
- Legend
- MPMedical Practitioner