NIVOLUMAB

nivolumab 40 mg/4 mL injection, 4 mL vial

NIVOLUMAB (14260M)

14260M
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 18370)

Indication: Urothelial carcinoma
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 480 mg # of repeats: 5 DPMA: $9,739.06 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Opdivo
(nivolumab 40 mg/4 mL injection, 4 mL vial)
Opdivo
(nivolumab 100 mg/10 mL injection, 10 mL vial)