Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > OTHER ANTINEOPLASTIC AGENTS

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13824NMP	TEBENTAFUSP Injection (PI, CMI) Available brands Kimmtrak (tebentafusp 100 microgram/0.5 mL injection, 0.5 mL vial)	136 mcg	7	$35791.37	$31.60	$31.60