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 $31.60 $31.60
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 $31.60 $31.60
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 $430.28 $31.60 $31.60
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 $31.60 $31.60
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 $94.86 $31.60 $31.60
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 $220.55 $31.60 $31.60
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 $31.60 $31.60
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 $94.86 $31.60 $31.60
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 $31.60 $31.60
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 $430.28 $31.60 $31.60
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 $220.55 $31.60 $31.60
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 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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 $813.27 $31.60 $31.60
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
12761PMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 3 $813.27 $31.60 $31.60
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
12762QMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 3 $813.27 $31.60 $31.60
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
12763RMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $31.60 $31.60
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
12766XMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $220.55 $31.60 $31.60
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
12767YMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 1 $813.27 $31.60 $31.60
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
12768BMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 1 $813.27 $31.60 $31.60
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
12775JMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $31.60 $31.60
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
12787BMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $94.86 $31.60 $31.60
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
12791FMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $31.60 $31.60
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
12792GMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 3 $813.27 $31.60 $31.60
Available brands
Actemra ACTPen
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
12794JMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $31.60 $31.60
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
12795KMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $220.55 $31.60 $31.60
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
12796LMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $31.60 $31.60
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
12802TMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $31.60 $31.60
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
12805YMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $430.28 $31.60 $31.60
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
12806BMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 3 $813.27 $31.60 $31.60
Available brands
Actemra Subcutaneous Injection
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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
12810FMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $430.28 $31.60 $31.60
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
12811GMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $94.86 $31.60 $31.60
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
13299YMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
2 2 5 $810.78 $31.60 $31.60
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
13301CMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 2 $813.27 $31.60 $31.60
Available brands
Actemra Subcutaneous Injection
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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
13304FMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
4 4 5 $328.76 $31.60 $31.60
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
13305GMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 5 $203.73 $31.60 $31.60
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
13306HMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 2 $813.27 $31.60 $31.60
Available brands
Actemra ACTPen
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
13311NMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
2 2 5 $179.63 $31.60 $31.60
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
13312PMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 5 $220.55 $31.60 $31.60
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
13315TMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
4 4 5 $350.59 $31.60 $31.60
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
13323FMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
2 2 5 $851.89 $31.60 $31.60
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
13324GMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
2 2 5 $164.38 $31.60 $31.60
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
13329MMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
2 2 5 $432.43 $31.60 $31.60
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
13330NMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
2 2 5 $407.46 $31.60 $31.60
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
13338BMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 5 $430.28 $31.60 $31.60
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
13339CMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 5 $405.39 $31.60 $31.60
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
13684FMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 5 $203.73 $31.60 $31.60
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
13685GMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (PI, CMI)
1 4 5 $813.27 $31.60 $31.60
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
13690MMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
2 2 5 $164.38 $31.60 $31.60
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
13696WMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
2 2 5 $179.63 $31.60 $31.60
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
13715WMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 5 $405.39 $31.60 $31.60
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
13716XMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 5 $220.55 $31.60 $31.60
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
13720DMP TOCILIZUMAB
tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (PI, CMI)
1 4 5 $813.27 $31.60 $31.60
Available brands
Actemra ACTPen
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
13731QMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 5 $430.28 $31.60 $31.60
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
1419QMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $94.86 $31.60 $31.60
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
1423XMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $220.55 $31.60 $31.60
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
1464CMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $430.28 $31.60 $31.60
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
1476QMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $31.60 $31.60
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
1481YMP TOCILIZUMAB
tocilizumab 200 mg/10 mL injection, 10 mL vial (PI, CMI)
1 1 0 $203.73 $31.60 $31.60
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
1482BMP TOCILIZUMAB
tocilizumab 400 mg/20 mL injection, 20 mL vial (PI, CMI)
1 1 0 $405.39 $31.60 $31.60
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
9657GMP TOCILIZUMAB
tocilizumab 80 mg/4 mL injection, 4 mL vial (PI, CMI)
1 1 0 $82.19 $31.60 $31.60
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 $31.60 $31.60
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 $31.60 $31.60
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 $94.86 $31.60 $31.60
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 $220.55 $31.60 $31.60
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 $430.28 $31.60 $31.60
Available brands
Actemra
space


  • Legend
  • MPMedical Practitioner