Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
10817HMP	TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI)	1	1	3	$1470.22	$31.60	$31.60
	Available brands
	Herceptin SC