DENOSUMAB

denosumab 120 mg/1.7 mL injection, 1.7 mL vial

DENOSUMAB (5110Y)

denosumab 120 mg/1.7 mL injection, 1.7 mL vial
5110Y
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16608)

Indication: Bone metastases

Restriction (Streamlined authority code: 16512)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $344.01 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
GANVADO
Osenvelt
Wyost
Xgeva