LENALIDOMIDE
lenalidomide 20 mg capsule, 21
LENALIDOMIDE (15428B)
15428B
Manner of administration:Oral
Restriction
Indication: Relapsed or refractory follicular lymphoma
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 21 | # of repeats: 5 | DPMQ: $757.74 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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