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	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