LUMACAFTOR + IVACAFTOR

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS
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
11464JMP LUMACAFTOR + IVACAFTOR
lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (PI, CMI)
1 112 5 $17861.17 $31.60 $31.60
Available brands
Orkambi
space

LUMACAFTOR + IVACAFTOR

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS
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
11465KMP LUMACAFTOR + IVACAFTOR
lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (PI, CMI)
1 112 5 $17812.50 $31.60 $31.60
Available brands
Orkambi
space


  • Legend
  • MPMedical Practitioner