Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12844BMP	GEMTUZUMAB OZOGAMICIN Injection (PI, CMI) Available brands Mylotarg (gemtuzumab ozogamicin 5 mg injection, 1 vial)	5 mg	2	$9257.13	$31.60	$31.60

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12861XMP	GEMTUZUMAB OZOGAMICIN Injection (PI, CMI) Available brands Mylotarg (gemtuzumab ozogamicin 5 mg injection, 1 vial)	5 mg	1	$9257.13	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12878TMP	GEMTUZUMAB OZOGAMICIN Injection (PI, CMI) Available brands Mylotarg (gemtuzumab ozogamicin 5 mg injection, 1 vial)	5 mg	2	$9430.14	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
12904EMP	GEMTUZUMAB OZOGAMICIN Injection (PI, CMI) Available brands Mylotarg (gemtuzumab ozogamicin 5 mg injection, 1 vial)	5 mg	1	$9430.14	$31.60	$31.60