Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > OTHER ANTINEOPLASTIC AGENTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12076NMP	ATEZOLIZUMAB Injection (PI, CMI) Available brands Tecentriq (atezolizumab 840 mg/14 mL injection, 14 mL vial)	1680 mg	3	$10209.09	$41.30	$41.30