Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
15227KMP	GLOFITAMAB Injection (PI, CMI) Available brands Columvi (Glofitamab 10 mg/10 mL injection, 10 mL vial)	30000 mcg	10	$16,156.39	$25.00	$25.00