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

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
11507PMP	TRIFLURIDINE + TIPIRACIL trifluridine 15 mg + tipiracil 6.14 mg tablet, 20 (PI, CMI)	3	60	2	$2284.02	$31.60	$31.60
	Available brands
	Lonsurf 15/6.14

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

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
11524MMP	TRIFLURIDINE + TIPIRACIL trifluridine 20 mg + tipiracil 8.19 mg tablet, 20 (PI, CMI)	4	80	2	$3934.07	$31.60	$31.60
	Available brands
	Lonsurf 20/8.19

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

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
12033HMP	TRIFLURIDINE + TIPIRACIL trifluridine 20 mg + tipiracil 8.19 mg tablet, 20 (PI, CMI)	4	80	2	$3934.07	$31.60	$31.60
	Available brands
	Lonsurf 20/8.19

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

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
12056MMP	TRIFLURIDINE + TIPIRACIL trifluridine 15 mg + tipiracil 6.14 mg tablet, 20 (PI, CMI)	3	60	2	$2284.02	$31.60	$31.60
	Available brands
	Lonsurf 15/6.14