ATEZOLIZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11277MMP | ATEZOLIZUMAB Injection (PI, CMI)
|
1200 mg | 7 | $6837.50 | $31.60 | $31.60 |
ATEZOLIZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11284XMP | ATEZOLIZUMAB Injection (PI, CMI)
|
1200 mg | 5 | $6837.50 | $31.60 | $31.60 |
ATEZOLIZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11297NMP | ATEZOLIZUMAB Injection (PI, CMI)
|
1200 mg | 7 | $6976.63 | $31.60 | $31.60 |
ATEZOLIZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
11309FMP | ATEZOLIZUMAB Injection (PI, CMI)
|
1200 mg | 5 | $6976.63 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner