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

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Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
15306NMP	MOGAMULIZUMAB Injection (PI, CMI) Available brands POTELIGEO (mogamulizumab 20 mg/5 mL injection, 5 mL vial)	120 mg	3	$13,418.26	$25.00	$25.00