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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
- Legend
- MPMedical Practitioner