TEMOZOLOMIDE
temozolomide 100 mg capsule, 5
TEMOZOLOMIDE (8821G)
8821G
Manner of administration:Oral
Restriction
Indication: Glioblastoma multiforme
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 15 | # of repeats: 2 | DPMQ: $171.99 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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