DUPILUMAB

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12293BMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (PI, CMI)
1 2 8 $1609.86 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12294CMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (PI, CMI)
1 2 5 $1658.53 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12302LMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (PI, CMI)
1 2 5 $1609.86 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12309WMP DUPILUMAB
dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)
1 2 8 $1609.86 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12310XMP DUPILUMAB
dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (PI, CMI)
1 2 8 $1658.53 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12313CMP DUPILUMAB
dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)
1 2 8 $1658.53 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12316FMP DUPILUMAB
dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)
1 2 5 $1658.53 $31.60 $31.60
Available brands
Dupixent
space

DUPILUMAB

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
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
12318HMP DUPILUMAB
dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (PI, CMI)
1 2 5 $1609.86 $31.60 $31.60
Available brands
Dupixent
space


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  • MPMedical Practitioner