ELOTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12983HMP | ELOTUZUMAB Injection (PI, CMI)
|
1200 mg | 5 | $5040.16 | $31.60 | $31.60 |
ELOTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
---|---|---|---|---|---|---|---|---|---|
12995YMP | ELOTUZUMAB Injection (PI, CMI)
|
1200 mg | 5 | $5154.13 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner