Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
10086WMP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	6	180	0	$5064.57	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
10087XMPNP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	6	180	5	$5064.57	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11676MMP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	1	30	0	$875.78	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11691HMPNP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	6	180	5	$5064.57	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11970BMPNP	SAPROPTERIN sapropterin dihydrochloride 500 mg powder for oral liquid, 30 sachets (PI, CMI)	1	30	5	$4247.60	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11971CMP	SAPROPTERIN sapropterin dihydrochloride 500 mg powder for oral liquid, 30 sachets (PI, CMI)	1	30	0	$4247.60	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11973EMP	SAPROPTERIN sapropterin dihydrochloride 500 mg powder for oral liquid, 30 sachets (PI, CMI)	1	30	0	$4247.60	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
11983QMPNP	SAPROPTERIN sapropterin dihydrochloride 500 mg powder for oral liquid, 30 sachets (PI, CMI)	1	30	5	$4247.60	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
12569MMPNP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	1	30	5	$875.78	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
12570NMP	SAPROPTERIN sapropterin dihydrochloride 500 mg powder for oral liquid, 30 sachets (PI, CMI)	1	30	0	$4247.60	$31.60	$31.60
	Available brands
	Kuvan

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS > OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

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
12579CMP	SAPROPTERIN sapropterin dihydrochloride 100 mg soluble tablet, 30 (PI, CMI)	1	30	0	$875.78	$31.60	$31.60
	Available brands
	Kuvan