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
13114FMP	PEMBROLIZUMAB Injection (PI, CMI) Available brands Keytruda (pembrolizumab 100 mg/4 mL injection, 4 mL vial)	400 mg	6	$15643.92	$31.60	$31.60