DURVALUMAB
|  | 
|  | 
| Code & Prescriber | Name, manner of administration | Max amount | No. of repeats | DPMA | Max Safety Net | General Patient Charge | |||
|---|---|---|---|---|---|---|---|---|---|
| 15091GMP | DURVALUMAB Injection (PI, CMI) 
 | 1500 mg | 5 | $10853.55 | $31.60 | $31.60 | 
- Legend
- MPMedical Practitioner




