Source	S100 HSD Public
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
14895YMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	2	$418.14	$31.60	$31.60
	Available brands
	Xolair