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
12322MMP	IPILIMUMAB Injection (PI, CMI) Available brands Yervoy (ipilimumab 50 mg/10 mL injection, 10 mL vial)	120 mg	4	$16123.99	$31.60	$31.60