DENOSUMAB

denosumab 120 mg/mL injection, 1 mL syringe

DENOSUMAB (15013E)

denosumab 120 mg/mL injection, 1 mL syringe
15013E
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16608)

Indication: Bone metastases

Restriction (Streamlined authority code: 16512)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $349.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xgeva