PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
10424PMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 7 $7889.36 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
10436GMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 7 $7737.63 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
10475HMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 5 $7889.36 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
10493GMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 5 $7737.63 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11330HMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11352LMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11492WMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 6 $7889.36 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11494YMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 6 $7737.63 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11632FMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
11646YMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12119WMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12120XMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 7 $7889.36 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12121YMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12122BMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 2 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12123CMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12124DMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12125EMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12126FMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12127GMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 3 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12128HMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 2 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12129JMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12130KMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
200 mg 7 $7737.63 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12605KMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
12615YMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15385.13 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
13114FMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15643.92 $31.60 $31.60
space

PEMBROLIZUMAB

Source Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES
Code & Prescriber Name, manner of administration Max amount No. of repeats DPMA Max Safety Net General Patient Charge
13131DMP PEMBROLIZUMAB
Injection (PI, CMI)
Available brands
Keytruda
(pembrolizumab 100 mg/4 mL injection, 4 mL vial)
400 mg 6 $15385.13 $31.60 $31.60
space


  • Legend
  • MPMedical Practitioner