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

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
11416WMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	1	4	5	$543.04	$31.60	$31.60
	Available brands
	Pegasys

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

Note

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
6439XMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$993.57	$31.60	$31.60
	Available brands
	Pegasys

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

Note

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
9515TMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$947.02	$31.60	$31.60
	Available brands
	Pegasys