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 (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
13170EMP	ATEZOLIZUMAB Injection (PI, CMI) Available brands Tecentriq (atezolizumab 840 mg/14 mL injection, 14 mL vial)	1680 mg	5	$9713.34	$31.60	$31.60