IMATINIB
imatinib 400 mg capsule, 30
IMATINIB (11764E)
11764E
Manner of administration:Oral
Restriction (Streamlined authority code: 17884)
Indication: Dermatofibrosarcoma protuberans
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $189.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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