Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
12884DMP	RAVULIZUMAB ravulizumab 300 mg/3 mL injection, 3 mL vial (PI, CMI)	1	1	2	$6574.12	$31.60	$31.60
	Available brands
	Ultomiris