TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10056GMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10058JMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10060LMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $429.39 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10064QMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10068XMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $93.97 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10071CMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $219.66 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10072DMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10073EMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $93.97 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10077JMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10078KMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $429.39 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10079LMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $219.66 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10081NMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10951JMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10954MMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11565QMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11567TMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11720WMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 2 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11721XMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 6 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11722YMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 6 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11725DMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11730JMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11734NMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 1 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11741YMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11742BMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 2 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11743CMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11744DMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11748HMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 1 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11750KMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12083YMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12084BMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12085CMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 1 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12086DMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 2 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12090HMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 2 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12094MMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 0 $811.89 $42.50 $42.50
Available brands
Actemra ACTPen
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12095NMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 3 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12099TMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 5 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12102YMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 0 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12105DMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 1 $811.89 $42.50 $42.50
Available brands
Actemra Subcutaneous Injection
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12692BMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 4 x 10 mL vials (PI, CMI)
0.25 1 0 $1161.61 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12693CMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $529.11 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12694DMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $2259.08 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12705QMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 4 x 20 mL vials (PI, CMI)
0.25 1 0 $2308.06 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12706RMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $1161.61 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12707TMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 4 x 20 mL vials (PI, CMI)
0.25 1 0 $2259.08 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12713DMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $501.28 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12714EMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 x 4 mL vials (PI, CMI)
0.25 1 0 $501.28 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12726TMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $1209.39 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12727WMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 x 4 mL vials (PI, CMI)
0.25 1 0 $530.31 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12728XMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $2306.86 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12747XMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 4 x 10 mL vials (PI, CMI)
0.25 1 0 $1210.59 $42.50 $42.50
Available brands
RoActemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1419QMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $93.97 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1423XMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $219.66 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1464CMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $429.39 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1476QMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1481YMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1482BMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $42.50 $42.50
Available brands
Actemraa
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9657GMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9658HMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Public
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9659JMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9671BMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $93.97 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9672CMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $219.66 $42.50 $42.50
Available brands
Actemra
space

TOCILIZUMAB

Source S100 HSD Private
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9673DMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $429.39 $42.50 $42.50
Available brands
Actemra
space


  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner