Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Restricted Benefit

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
1131MMP	MYCOBACTERIUM BOVIS BCG TICE STRAIN Mycobacterium bovis BCG Tice strain 500 million CFU injection, 3 vials (PI, CMI)	1	3	1	$459.47	$31.60	$31.60
	Available brands
	OncoTICE

Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Restricted Benefit

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
5902PMP	MYCOBACTERIUM BOVIS BCG TICE STRAIN Mycobacterium bovis BCG Tice strain 500 million CFU injection, 3 vials (PI, CMI)	1	3	1	$399.49	$31.60	$31.60
	Available brands
	OncoTICE