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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
14664TMP	NIVOLUMAB + RELATLIMAB Injection (PI, CMI) Available brands Opdualag (nivolumab 240 mg/20 mL + relatlimab 80 mg/20 mL injection, 20 mL vial)	480 mg	8	$18585.34	$31.60	$31.60