Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
10341GMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.07	$31.60	$31.60
	Available brands
	Clopine Suspension

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
11415TMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.07	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
11422EMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.07	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
11433RMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$135.00	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
5630HMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$135.00	$31.60	$31.60
	Available brands
	Clopine Suspension

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

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
9632YMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.07	$31.60	$31.60
	Available brands
	Clopine Suspension