DENOSUMAB

DENOSUMAB (10061M)

denosumab 120 mg/1.7 mL injection, 1.7 mL vial
10061M
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16514)

Indication: Giant cell tumour of bone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $344.01 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
GANVADO
Osenvelt
Wyost
Xgeva

DENOSUMAB (15001M)

denosumab 120 mg/mL injection, 1 mL syringe
15001M
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16514)

Indication: Giant cell tumour of bone
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $349.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xgeva

DENOSUMAB (15013E)

denosumab 120 mg/mL injection, 1 mL syringe
15013E
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16608)

Indication: Bone metastases

Restriction (Streamlined authority code: 16512)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $349.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xgeva

DENOSUMAB (5110Y)

denosumab 120 mg/1.7 mL injection, 1.7 mL vial
5110Y
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16608)

Indication: Bone metastases

Restriction (Streamlined authority code: 16512)

Indication: Bone metastases
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 5 DPMQ: $344.01 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
GANVADO
Osenvelt
Wyost
Xgeva

DENOSUMAB (5457F)

denosumab 60 mg/mL injection, 1 mL syringe
5457F
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 6548)

Indication: Osteoporosis

Restriction (Streamlined authority code: 6524)

Indication: Established osteoporosis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $188.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CORORA
Jubbonti
Prolia
Stoboclo