Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Caution

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
14803DMP	EPCORITAMAB Epcoritamab 4 mg/0.8 mL injection, 0.8 mL vial (PI, CMI)	1	1	1	$769.23	$31.60	$31.60
	Available brands
	Epkinly