GLOFITAMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
15266LMP GLOFITAMAB
Injection (PI, CMI)
Available brands
Columvi
(Glofitamab 10 mg/10 mL injection, 10 mL vial)
10000 mcg 0 $5,476.73 $25.00 $25.00
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