Source	S100 HSD Private
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
11144MMPNP	SOFOSBUVIR + VELPATASVIR sofosbuvir 400 mg + velpatasvir 100 mg tablet, 28 (PI, CMI)	1	28	2	$11923.67	$31.60	$31.60
	Available brands
	Epclusa

Source	S100 HSD Public
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
11145NMPNP	SOFOSBUVIR + VELPATASVIR sofosbuvir 400 mg + velpatasvir 100 mg tablet, 28 (PI, CMI)	1	28	2	$11875.00	$31.60	$31.60
	Available brands
	Epclusa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
11147QMPNP	SOFOSBUVIR + VELPATASVIR sofosbuvir 400 mg + velpatasvir 100 mg tablet, 28 (PI, CMI)	1	28	2	$12037.60	$31.60	$31.60
	Available brands
	Epclusa