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
10745MMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
10748QMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9739.06	$31.60	$31.60

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
10764MMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
10775DMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9739.06	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11143LMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9739.06	$31.60	$31.60

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
11150WMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11152YMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9739.06	$31.60	$31.60

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
11153BMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11157FMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9739.06	$31.60	$31.60

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
11158GMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11159HMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9739.06	$31.60	$31.60

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
11160JMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9560.79	$31.60	$31.60

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
11411NMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11425HMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9739.06	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11434TMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9739.06	$31.60	$31.60

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
11435WMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	8	$9560.79	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11532YMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	120 mg	3	$2537.44	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11543MMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	120 mg	3	$2458.62	$31.60	$31.60

Source	Chemotherapy Items for Private 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
11626XMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9739.06	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11627YMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	3	$7338.52	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11636KMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	3	$7193.40	$31.60	$31.60

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
11642RMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	11	$9560.79	$31.60	$31.60

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

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11900HMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9560.79	$31.60	$31.60

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

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
11906PMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9739.06	$31.60	$31.60

Source	Chemotherapy Items for Private 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
12315EMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	13	$7338.52	$31.60	$31.60

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
12323NMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	13	$7193.40	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12574TMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	8	$7338.52	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12602GMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	8	$7193.40	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13117JMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	13	$9739.06	$31.60	$31.60

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

Caution

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13121NMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	13	$9560.79	$31.60	$31.60

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

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13240WMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9560.79	$31.60	$31.60

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

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13246EMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9739.06	$31.60	$31.60

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

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
14231BMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9560.79	$31.60	$31.60

Source	Chemotherapy Items for Private 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
14232CMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	2	$7338.52	$31.60	$31.60

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
14233DMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	360 mg	2	$7193.40	$31.60	$31.60

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

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
14260MMP	NIVOLUMAB Injection (PI, CMI) Available brands Opdivo (nivolumab 40 mg/4 mL injection, 4 mL vial) Opdivo (nivolumab 100 mg/10 mL injection, 10 mL vial)	480 mg	5	$9739.06	$31.60	$31.60