DARATUMUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12220EMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 4 | $11773.93 | $31.60 | $31.60 |
DARATUMUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12225KMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 4 | $11982.15 | $31.60 | $31.60 |
DARATUMUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12226LMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 5 | $11982.15 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner