Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
10138NMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
10374BMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	5	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
11480FMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
11975GMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13134GMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	5	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13143RMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13157LMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13166YMP	RANIBIZUMAB ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (PI, CMI)	1	1	2	$786.36	$31.60	$31.60
	Available brands
	Lucentisa