IPILIMUMAB
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 2641BMP | IPILIMUMAB Injection (PI, CMI) 
  | 
                  360 mg | 3 | $42848.19 | $31.60 | $31.60 | 
- Legend
 - MPMedical Practitioner
 




