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

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