IPILIMUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11628BMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 3 $16964.83 $42.50 $42.50
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IPILIMUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11644WMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 3 $17242.74 $42.50 $42.50
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IPILIMUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12304NMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 4 $17242.74 $42.50 $42.50
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IPILIMUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12308TMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 4 $17242.74 $42.50 $42.50
space

IPILIMUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12322MMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 4 $16964.83 $42.50 $42.50
space

IPILIMUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12324PMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 4 $16964.83 $42.50 $42.50
space

IPILIMUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12583GMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 3 $16964.83 $42.50 $42.50
space

IPILIMUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12601FMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
120 mg 3 $17242.74 $42.50 $42.50
space

IPILIMUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
2638WMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
Yervoy
(ipilimumab 200 mg/40 mL injection, 40 mL vial)
360 mg 3 $45766.14 $42.50 $42.50
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IPILIMUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
2641BMP IPILIMUMAB
Injection (PI, CMI)
Available brands
Yervoy
(ipilimumab 50 mg/10 mL injection, 10 mL vial)
Yervoy
(ipilimumab 200 mg/40 mL injection, 40 mL vial)
360 mg 3 $45094.43 $42.50 $42.50
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  • Legend
  • MPMedical Practitioner