SIROLIMUS

sirolimus 1 mg/mL oral liquid, 60 mL

SIROLIMUS (13885T)

sirolimus 1 mg/mL oral liquid, 60 mL
13885T
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 3 DPMQ: $1,035.86 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rapamune