Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
12899XMP	ECULIZUMAB eculizumab 300 mg/30 mL injection, 30 mL vial (PI, CMI)	6	6	5	$33892.47	$31.60	$31.60
	Available brands
	Soliris