NIVOLUMAB

nivolumab 40 mg/4 mL injection, 4 mL vial

NIVOLUMAB (15224G)

15224G
Body System:
Manner of administration:Injection
Private
Chemotherapy Items for Private Hospital use
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 18070)

Indication: Immunotherapy sensitive advanced or metastatic cancer
Quantities & Cost
Max amount # of repeats DPMA Max safety net General Patient Charge
Max amount: 480 mg # of repeats: 13 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)