Source	S100 Growth Hormone Programme
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
11493XMP	SOMATROPIN somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (PI, CMI)	1	1	5	$166.24	$31.60	$31.60
	Available brands
	Genotropin GoQuick

Source	S100 Growth Hormone Programme
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
11495BMP	SOMATROPIN somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (PI, CMI)	1	1	5	$386.83	$31.60	$31.60
	Available brands
	Genotropin GoQuick

Source	S100 Growth Hormone Programme
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
11895CMP	SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	5	$166.24	$31.60	$31.60
	Available brands
	Norditropin FlexPro