ATEZOLIZUMAB

atezolizumab 1.2 g/20 mL injection, 20 mL vial

ATEZOLIZUMAB (11927R)

atezolizumab 1.2 g/20 mL injection, 20 mL vial
11927R
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction  18257

Indication: Extensive-stage small cell lung cancer
Treatment phase: Initial treatment
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 1200 mg # of repeats: 3 DPMA: $6,978.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tecentriq
(atezolizumab 1.2 g/20 mL injection, 20 mL vial)