LENALIDOMIDE

lenalidomide 20 mg capsule, 21

LENALIDOMIDE (15486C)

lenalidomide 20 mg capsule, 21
15486C
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

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: $797.29 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Lenalide
Lenalidomide Sandoz