Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required

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
13203XMP	DARATUMUMAB daratumumab 1.8 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	5	$7010.28	$31.60	$31.60
	Available brands
	Darzalex SC