Source	S100 Botulinum Toxin Program
Body System	MUSCULO-SKELETAL SYSTEM > MUSCLE RELAXANTS > MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS

Caution

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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
11015RMP	CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX clostridium botulinum type A toxin-haemagglutinin complex 500 units injection, 1 vial (PI, CMI)	2	2	0	$855.99	$31.60	$31.60
	Available brands
	Dysport