Source	Repatriation Pharmaceutical Benefits
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC 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
10169FMP	CLOPIDOGRELR clopidogrel 75 mg tablet, 28 (PI, CMI)
	Available brands
	Plidogrela	1	28	3	$17.55	$7.70	$7.70

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

Restricted Benefit

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
13365KMPNP	CLOPIDOGREL clopidogrel 75 mg tablet, 28 (PI, CMI)	2	56	5	$21.65	$23.10	$26.55
	Available brands
	CLOPIDOGREL-WGRa
	Clovix 75a
	Plidogrela

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

Restricted Benefit

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
13399FMPNP	CLOPIDOGREL clopidogrel 75 mg tablet, 28 (PI, CMI)	2	56	5	$21.65	$23.10	$26.55
	Available brands
	Blooms Clopidogrela
	Clopidogrel Lupina
	Clopidogrel Sandoz Pharmaa
	Clopidogrel Winthropa
	Iscovera
	Piaxa
	Plavicor 75a

Source	Repatriation Pharmaceutical Benefits
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC 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
4179YMP	CLOPIDOGRELR clopidogrel 75 mg tablet, 28 (PI, CMI)
	Available brands
	Clopidogrel Lupina	1	28	3	$17.55	$7.70	$7.70
	Clopidogrel Sandoz Pharmaa	1	28	3	$17.55	$7.70	$7.70
	Iscovera	1	28	3	$17.55	$7.70	$7.70
	Piaxa	1	28	3	$17.55	$7.70	$7.70
	Plavicor 75a	1	28	3	$17.55	$7.70	$7.70

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

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
8358XMPNP	CLOPIDOGREL clopidogrel 75 mg tablet, 28 (PI, CMI)	1	28	5	$17.55	$19.00	$22.45
	Available brands
	Blooms Clopidogrela
	Clopidogrel Lupina
	Clopidogrel Sandoz Pharmaa
	Clopidogrel Winthropa
	Iscovera
	Piaxa
	Plavicor 75a

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

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
9354HMPNP	CLOPIDOGREL clopidogrel 75 mg tablet, 28 (PI, CMI)	1	28	5	$17.55	$19.00	$22.45
	Available brands
	CLOPIDOGREL-WGRa
	Clovix 75a
	Plidogrela