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	$9,560.79	$25.00	$25.00

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	$9,739.06	$25.00	$25.00

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	$9,560.79	$25.00	$25.00

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	$9,739.06	$25.00	$25.00

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	$9,560.79	$25.00	$25.00

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	$7,338.52	$25.00	$25.00

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	$7,193.40	$25.00	$25.00

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	$9,739.06	$25.00	$25.00

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
15224GMP	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	$9,739.06	$25.00	$25.00

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
15238BMP	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	$9,560.79	$25.00	$25.00