Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
14130QMP	DOSTARLIMAB Injection (PI, CMI) Available brands Jemperli (dostarlimab 500 mg/10 mL injection, 10 mL vial)	1000 mg	3	$15383.62	$31.60	$31.60