Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Caution

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13135HMP	CEMIPLIMAB Injection (PI, CMI) Available brands Libtayo (cemiplimab 350 mg/7 mL injection, 7 mL vial)	350 mg	2	$7523.97	$30.00	$30.00

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Caution

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13153GMP	CEMIPLIMAB Injection (PI, CMI) Available brands Libtayo (cemiplimab 350 mg/7 mL injection, 7 mL vial)	350 mg	7	$7523.97	$30.00	$30.00

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
13160PMP	CEMIPLIMAB Injection (PI, CMI) Available brands Libtayo (cemiplimab 350 mg/7 mL injection, 7 mL vial)	350 mg	6	$7523.97	$30.00	$30.00

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
13162RMP	CEMIPLIMAB Injection (PI, CMI) Available brands Libtayo (cemiplimab 350 mg/7 mL injection, 7 mL vial)	350 mg	6	$7523.97	$30.00	$30.00