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

Note

Authority Required

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
14670DMP	VEDOLIZUMAB vedolizumab 300 mg injection, 1 vial (PI, CMI)	1	1	2	$2949.93	$31.60	$31.60
	Available brands
	Entyvio

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

Note

Authority Required

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
14679NMP	VEDOLIZUMAB vedolizumab 300 mg injection, 1 vial (PI, CMI)	1	1	2	$2998.81	$31.60	$31.60
	Available brands
	Entyvio