TRASTUZUMAB DERUXTECAN
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
14577FMP | TRASTUZUMAB DERUXTECAN Injection (PI, CMI)
|
675 mg | 8 | $17830.52 | $31.60 | $31.60 |
TRASTUZUMAB DERUXTECAN
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
---|---|---|---|---|---|---|---|---|
14578GMP | TRASTUZUMAB DERUXTECAN Injection (PI, CMI)
|
675 mg | 8 | $17541.55 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner