DURVALUMAB
Manner of administration:Injection
Restriction (Streamlined authority code: 14708)
Indication: Locally advanced, metastatic or recurrent biliary tract cancer (intrahepatic cholangiocarcinoma,
extrahepatic cholangiocarcinoma, and gallbladder cancer)
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 1500 mg | # of repeats: 5 | DPMA: $11,049.88 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| Imfinzi
(durvalumab 120 mg/2.4 mL injection, 2.4 mL vial)
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| Imfinzi
(durvalumab 500 mg/10 mL injection, 10 mL vial)
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