AVELUMAB
| 
                        
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| 
                        
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| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 11671GMP | AVELUMAB Injection (PI, CMI) 
  | 
                  1200 mg | 11 | $7828.17 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 11679QMP | AVELUMAB Injection (PI, CMI) 
  | 
                  1200 mg | 8 | $7982.14 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 11685BMP | AVELUMAB Injection (PI, CMI) 
  | 
                  1200 mg | 11 | $7982.14 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 11695MMP | AVELUMAB Injection (PI, CMI) 
  | 
                  1200 mg | 8 | $7828.17 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 13122PMP | AVELUMAB Injection (PI, CMI) 
  | 
                  800 mg | 7 | $5249.19 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 13123QMP | AVELUMAB Injection (PI, CMI) 
  | 
                  800 mg | 7 | $5367.06 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 13126WMP | AVELUMAB Injection (PI, CMI) 
  | 
                  800 mg | 11 | $5249.19 | $31.60 | $31.60 | 
AVELUMAB
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | ||
|---|---|---|---|---|---|---|---|---|
| 13132EMP | AVELUMAB Injection (PI, CMI) 
  | 
                  800 mg | 11 | $5367.06 | $31.60 | $31.60 | 
- Legend
 - MPMedical Practitioner
 




