Source	S100 HSD Community Access
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
10290NMPNP	ADEFOVIR adefovir dipivoxil 10 mg tablet, 30 (PI, CMI)	2	60	5	$899.41	$31.60	$31.60
	Available brands
	APO-Adefovira

Source	S100 HSD Community Access
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
13777DMPNP	ADEFOVIR adefovir dipivoxil 10 mg tablet, 30 (PI, CMI)	2	60	5	$1029.65	$31.60	$31.60
	Available brands
	Adefovir Dipivoxil Tablets 10 mg (SigmaPharm Laboratories)a