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

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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
14903JMP	OMALIZUMAB omalizumab 150 mg/mL injection, 1 mL pen device (PI, CMI)	2	2	2	$443.74	$31.60	$31.60
	Available brands
	Xolaira