SEVELAMER

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
11838CMP SEVELAMER
sevelamer carbonate 800 mg tablet, 180 (PI, CMI)
2 360 5 $338.99 $31.60 $31.60
Available brands
ARX-SEVELAMERa
Sevelamer Apotexa
Sevelamer Lupina
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SEVELAMER

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
11855YMP SEVELAMER
sevelamer carbonate 800 mg tablet, 180 (PI, CMI)
2 360 5 $317.62 $31.60 $31.60
Available brands
ARX-SEVELAMERa
Sevelamer Apotexa
Sevelamer Lupina
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SEVELAMER

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
11856BMPNP SEVELAMER
sevelamer carbonate 800 mg tablet, 180 (PI, CMI)
1 180 5 $187.75 $31.60 $31.60
Available brands
ARX-SEVELAMERa
Sevelamer Apotexa
Sevelamer Lupina
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SEVELAMER

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
13934JMPNP
SEVELAMER
sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI)
2 360 5 $367.03 $31.60 $31.60
Available brands
Renagela
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SEVELAMER

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
14027GMPNP
SEVELAMER
sevelamer carbonate 800 mg tablet, 180 (PI, CMI)
2 360 5 $367.03 $31.60 $31.60
Available brands
ARX-SEVELAMERa
Sevelamer Apotexa
Sevelamer Lupina
space

SEVELAMER

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
2142RMPNP SEVELAMER
sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI)
1 180 5 $187.75 $31.60 $31.60
Available brands
Renagela
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SEVELAMER

Source S100 HSD Public
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
9546KMP SEVELAMER
sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI)
2 360 5 $317.62 $31.60 $31.60
Available brands
Renagela
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SEVELAMER

Source S100 HSD Private
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC 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
9620HMP SEVELAMER
sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI)
2 360 5 $338.99 $31.60 $31.60
Available brands
Renagela
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  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions