Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10520QMP	PONATINIB ponatinib 15 mg tablet, 60 (PI, CMI)	1	60	5	$5490.78	$31.60	$31.60
	Available brands
	Iclusig

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10523WMP	PONATINIB ponatinib 15 mg tablet, 60 (PI, CMI)	1	60	2	$5490.78	$31.60	$31.60
	Available brands
	Iclusig

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10524XMP	PONATINIB ponatinib 45 mg tablet, 30 (PI, CMI)	1	30	2	$6174.25	$31.60	$31.60
	Available brands
	Iclusig

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10530FMP	PONATINIB ponatinib 45 mg tablet, 30 (PI, CMI)	1	30	5	$6174.25	$31.60	$31.60
	Available brands
	Iclusig

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11453TMP	PONATINIB ponatinib 45 mg tablet, 30 (PI, CMI)	1	30	2	$6174.25	$31.60	$31.60
	Available brands
	Iclusig

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11454WMP	PONATINIB ponatinib 15 mg tablet, 60 (PI, CMI)	1	60	2	$5490.78	$31.60	$31.60
	Available brands
	Iclusig