Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11237KMP	OCRELIZUMAB ocrelizumab 300 mg/10 mL injection, 10 mL vial (PI, CMI)	2	2	0	$16705.24	$31.60	$31.60
	Available brands
	Ocrevus

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11242QMP	OCRELIZUMAB ocrelizumab 300 mg/10 mL injection, 10 mL vial (PI, CMI)	2	2	0	$16656.36	$31.60	$31.60
	Available brands
	Ocrevus