Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

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
10416FMP	GLATIRAMER ACETATE glatiramer acetate 40 mg/mL injection, 12 x 1 mL syringes (PI, CMI)	1	12	5	$563.52	$31.60	$31.60
	Available brands
	Copaxonea
	GLATIRAMER ACETATE-TEVAa
	Glatiraa

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

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
13110BMP	GLATIRAMER ACETATE glatiramer acetate 40 mg/mL injection, 12 x 1 mL pen devices (PI, CMI)	1	12	5	$598.86	$31.60	$31.60
	Available brands
	Copaxonea