TISLELIZUMAB

TISLELIZUMAB (14756P)

tislelizumab 100 mg/10 mL injection, 10 mL vial
14756P
Body System:
Manner of administration:Injection
Public
Chemotherapy Items for Public Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16375)

Indication: Advanced or metastatic gastro-oesophageal cancer
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 200 mg # of repeats: 7 DPMA: $6,483.47 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tevimbra
(tislelizumab 100 mg/10 mL injection, 10 mL vial)

TISLELIZUMAB (14765D)

tislelizumab 100 mg/10 mL injection, 10 mL vial
14765D
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16375)

Indication: Advanced or metastatic gastro-oesophageal cancer
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 200 mg # of repeats: 7 DPMA: $6,618.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tevimbra
(tislelizumab 100 mg/10 mL injection, 10 mL vial)