Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > CYTOTOXIC ANTIBIOTICS AND RELATED SUBSTANCES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4433HMP	BLEOMYCIN Injection (PI, CMI) Available brands DBL Bleomycin Sulfate (bleomycin sulfate 15 000 international units injection, 1 vial)	30000 iu	11	$170.13	$31.60	$31.60