Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

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
10682FMP	TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI)	1	1	3	$1,609.37	$25.00	$25.00
	Available brands
	Herceptin SC

Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

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
10743KMP	TRASTUZUMAB trastuzumab 600 mg/5 mL injection, 5 mL vial (PI, CMI)	1	1	3	$1,470.22	$25.00	$25.00
	Available brands
	Herceptin SC

Source	Chemotherapy Items for Public 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
11951BMP	TRASTUZUMAB EMTANSINE Injection (PI, CMI) Available brands Kadcyla (trastuzumab emtansine 100 mg injection, 1 vial) Kadcyla (trastuzumab emtansine 160 mg injection, 1 vial)	450 mg	6	$6,912.23	$25.00	$25.00

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
11956GMP	TRASTUZUMAB EMTANSINE Injection (PI, CMI) Available brands Kadcyla (trastuzumab emtansine 100 mg injection, 1 vial) Kadcyla (trastuzumab emtansine 160 mg injection, 1 vial)	450 mg	6	$7,053.40	$25.00	$25.00

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

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4632TMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	500 mg	0	$413.47	$25.00	$25.00

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

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4639EMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	250 mg	9	$296.47	$25.00	$25.00

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

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4650RMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	1000 mg	0	$735.71	$25.00	$25.00

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

Note

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4703MMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	750 mg	3	$617.13	$25.00	$25.00

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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7264HMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	500 mg	0	$432.94	$25.00	$25.00

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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7265JMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	250 mg	9	$314.30	$25.00	$25.00

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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7266KMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	1000 mg	0	$759.69	$25.00	$25.00

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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7267LMP	TRASTUZUMAB Injection (PI, CMI) Available brands Herzuma (trastuzumab 440 mg injection [1 vial] (&) inert substance diluent [20 mL vial], 1 pack) Herzuma (trastuzumab 150 mg injection, 1 vial) Kanjinti (trastuzumab 420 mg injection, 1 vial) Ogivri (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 150 mg injection, 1 vial) Trazimera (trastuzumab 60 mg injection, 1 vial)	750 mg	3	$639.44	$25.00	$25.00