Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11238LMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$860.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11239MMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$818.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11240NMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	5	$818.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11244TMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$860.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5655PMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$818.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
6500DMP	DEFERASIROX deferasirox 250 mg dispersible tablet, 28 (PI, CMI)	6	168	5	$860.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa