Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14225QMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	4	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14226RMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	4	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14247WMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	5	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14248XMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	3	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14249YMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14250BMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	5	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14255GMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14266WMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	5	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14267XMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14268YMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14269BMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Caution

Note

Authority Required (STREAMLINED)

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
14277KMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	3	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Caution

Note

Authority Required (STREAMLINED)

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
14278LMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	3	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14288BMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	7	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14289CMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	3	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14298MMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	5	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES

Note

Authority Required (STREAMLINED)

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
14566PMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	8	$6909.97	$31.60	$31.60
	Available brands
	Tecentriq SC

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

Note

Authority Required (STREAMLINED)

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
14575DMP	ATEZOLIZUMAB atezolizumab 1.875 g/15 mL injection, 15 mL vial (PI, CMI)	1	1	8	$6747.37	$31.60	$31.60
	Available brands
	Tecentriq SC