NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 11363CMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 11378WMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 11472TMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 11476BMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 12176WMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 12177XMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 12972RMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13045NMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13052YMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13064NMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13068TMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13083NMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13084PMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13091BMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 13111CMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 14090NMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 14095WMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 0 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Private |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 14096XMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104548.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
NUSINERSEN
| Source | S100 HSD Public |
| Body System | MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM > OTHER DRUGS FOR DISORDERS OF THE MUSCULO-SKELETAL SYSTEM |
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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 |
|---|---|---|---|---|---|---|---|
| 14099CMP | NUSINERSEN nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial (PI, CMI) |
1 | 1 | 3 | $104500.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Spinraza |
- Legend
- MPMedical Practitioner
