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 |
DARATUMUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12228NMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 8 | $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 | |||
---|---|---|---|---|---|---|---|---|---|
12230QMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 8 | $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 | |||
---|---|---|---|---|---|---|---|---|---|
12231RMP | DARATUMUMAB Injection (PI, CMI)
|
1920 mg | 5 | $11773.93 | $31.60 | $31.60 |
DARATUMUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12682LMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 5 | $7010.28 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12683MMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 8 | $7172.88 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12725RMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 5 | $7172.88 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12745TMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 4 | $7010.28 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12746WMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 8 | $7010.28 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
12755HMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 4 | $7172.88 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
13199QMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 5 | $7172.88 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
13201TMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 15 | $7010.28 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | General Schedule |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
13202WMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 15 | $7172.88 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
DARATUMUMAB
Source | Section 100 (CT) |
Body System | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES |
|
|
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 |
---|---|---|---|---|---|---|---|
13203XMP | DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI) |
1 | 1 | 5 | $7010.28 | $31.60 | $31.60 |
Available brands | |||||||
Darzalex SC |
- Legend
- MPMedical Practitioner