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

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
10767QMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	1	$3944.61	$31.60	$31.60
	Available brands
	Stelara

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

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
10774CMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	2	$3944.61	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11164NMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12048.67	$31.60	$31.60
	Available brands
	Stelara

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

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
11178HMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	2	2	0	$7780.77	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11182MMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12000.00	$31.60	$31.60
	Available brands
	Stelara

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

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
12662KMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	0	$3944.61	$31.60	$31.60
	Available brands
	Stelara

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

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
12664MMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	1	$3944.61	$31.60	$31.60
	Available brands
	Stelara

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

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
12669TMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	2	$3944.61	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
13255PMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12048.67	$31.60	$31.60
	Available brands
	Stelara

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

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
13261YMP	USTEKINUMAB ustekinumab 90 mg/mL injection, 1 mL syringe (PI, CMI)	1	1	1	$3971.68	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
13272MMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12000.00	$31.60	$31.60
	Available brands
	Stelara

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

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
13273NMP	USTEKINUMAB ustekinumab 90 mg/mL injection, 1 mL syringe (PI, CMI)	1	1	0	$3971.68	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
13781HMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12000.00	$31.60	$31.60
	Available brands
	Stelara

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

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
13789RMP	USTEKINUMAB ustekinumab 90 mg/mL injection, 1 mL syringe (PI, CMI)	1	1	1	$3971.68	$31.60	$31.60
	Available brands
	Stelara

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
13804MMP	USTEKINUMAB ustekinumab 130 mg/26 mL injection, 26 mL vial (PI, CMI)	4	4	0	$12048.67	$31.60	$31.60
	Available brands
	Stelara

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

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
13805NMP	USTEKINUMAB ustekinumab 90 mg/mL injection, 1 mL syringe (PI, CMI)	1	1	0	$3971.68	$31.60	$31.60
	Available brands
	Stelara

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

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
9304QMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	2	$3944.61	$31.60	$31.60
	Available brands
	Stelara

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

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
9305RMP	USTEKINUMAB ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (PI, CMI)	1	1	1	$3944.61	$31.60	$31.60
	Available brands
	Stelara