TEZACAFTOR + IVACAFTOR (&) IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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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 |
|---|---|---|---|---|---|---|---|
| 11833TMP | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (PI, CMI) |
1 | 1 | 5 | $19998.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Symdeko |
TEZACAFTOR + IVACAFTOR (&) IVACAFTOR
| Source | S100 HSD Private |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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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 |
|---|---|---|---|---|---|---|---|
| 11834WMP | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (PI, CMI) |
1 | 1 | 5 | $19998.67 | $31.60 | $31.60 |
| Available brands | |||||||
| Symdeko |
TEZACAFTOR + IVACAFTOR (&) IVACAFTOR
| Source | S100 HSD Public |
| Body System | RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS |
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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 |
|---|---|---|---|---|---|---|---|
| 11854XMP | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (PI, CMI) |
1 | 1 | 5 | $19950.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Symdeko |
TEZACAFTOR + IVACAFTOR (&) 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 |
|---|---|---|---|---|---|---|---|
| 11863JMP | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (PI, CMI) |
1 | 1 | 5 | $19950.00 | $31.60 | $31.60 |
| Available brands | |||||||
| Symdeko |
- Legend
- MPMedical Practitioner
