TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4632TMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $468.51 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4639EMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $330.06 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4650RMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $846.89 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4703MMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $708.44 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7264HMP | TRASTUZUMAB Injection (PI, CMI)
|
500 mg | 0 | $488.42 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7265JMP | TRASTUZUMAB Injection (PI, CMI)
|
250 mg | 9 | $348.03 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7266KMP | TRASTUZUMAB Injection (PI, CMI)
|
1000 mg | 0 | $872.09 | $31.60 | $31.60 |
TRASTUZUMAB
|
|
Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7267LMP | TRASTUZUMAB Injection (PI, CMI)
|
750 mg | 3 | $731.70 | $31.60 | $31.60 |
- Legend
- MPMedical Practitioner