Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Authority Required (STREAMLINED)

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
5829TMP	FILGRASTIM filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (PI, CMI)	2	20	11	$247.68	$31.60	$31.60
	Available brands
	Nivestim