Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11213EMP	IBRUTINIB ibrutinib 140 mg capsule, 90 (PI, CMI)	1	90	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11419BMP	IBRUTINIB ibrutinib 140 mg capsule, 120 (PI, CMI)	1	120	5	$10551.33	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14074RMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	5	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14075TMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14079BMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	5	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14085HMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14086JMP	IBRUTINIB ibrutinib 560 mg tablet, 30 (PI, CMI)	1	30	5	$10551.33	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14579HMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	5	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14580JMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	2	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14596FMP	IBRUTINIB ibrutinib 140 mg capsule, 90 (PI, CMI)	1	90	4	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14597GMP	IBRUTINIB ibrutinib 140 mg capsule, 90 (PI, CMI)	1	90	2	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14598HMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	2	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14603NMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14604PMP	IBRUTINIB ibrutinib 140 mg capsule, 90 (PI, CMI)	1	90	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14612CMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	4	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14613DMP	IBRUTINIB ibrutinib 140 mg capsule, 90 (PI, CMI)	1	90	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14619KMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	5	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14620LMP	IBRUTINIB ibrutinib 280 mg tablet, 30 (PI, CMI)	1	30	5	$5356.97	$31.60	$31.60
	Available brands
	Imbruvica

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14621MMP	IBRUTINIB ibrutinib 420 mg tablet, 30 (PI, CMI)	1	30	4	$7954.15	$31.60	$31.60
	Available brands
	Imbruvica