BEVACIZUMAB

Public
Chemotherapy Items for Public Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 1800 mg # of repeats: 7 DPMA: $842.01 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Abevmy
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Abevmy
(bevacizumab 400 mg/16 mL injection, 16 mL vial)
Mvasi
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Mvasi
(bevacizumab 400 mg/16 mL injection, 16 mL vial)
Vegzelma
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Vegzelma
(bevacizumab 400 mg/16 mL injection, 16 mL vial)
Private
Chemotherapy Items for Private Hospital use
No restrictions
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 1800 mg # of repeats: 7 DPMA: $898.12 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Abevmy
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Abevmy
(bevacizumab 400 mg/16 mL injection, 16 mL vial)
Mvasi
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Mvasi
(bevacizumab 400 mg/16 mL injection, 16 mL vial)
Vegzelma
(bevacizumab 100 mg/4 mL injection, 4 mL vial)
Vegzelma
(bevacizumab 400 mg/16 mL injection, 16 mL vial)