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

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
11172BMP	PEGVISOMANT pegvisomant 15 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI)	1	1	5	$4018.31	$31.60	$31.60
	Available brands
	Somavert

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

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
11173CMP	PEGVISOMANT pegvisomant 15 mg injection [30 vials] (&) inert substance diluent [30 syringes], 1 pack (PI, CMI)	1	1	5	$3969.64	$31.60	$31.60
	Available brands
	Somavert