Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10880PMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7458.67	$31.60	$31.60
	Available brands
	Signifor LAR

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10882RMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 60 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7410.00	$31.60	$31.60
	Available brands
	Signifor LAR

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10883TMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 40 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7410.00	$31.60	$31.60
	Available brands
	Signifor LAR

Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10884WMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 40 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7458.67	$31.60	$31.60
	Available brands
	Signifor LAR

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10886YMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7410.00	$31.60	$31.60
	Available brands
	Signifor LAR

Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

Caution

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
10887BMP	PASIREOTIDE EMBONATE pasireotide (as embonate) 60 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$7458.67	$31.60	$31.60
	Available brands
	Signifor LAR