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

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
11603QMP	CLADRIBINE cladribine 10 mg tablet, 1 (PI, CMI)	1	1	1	$3803.99	$31.60	$31.60
	Available brands
	Mavenclad

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

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
11604RMP	CLADRIBINE cladribine 10 mg tablet, 4 (PI, CMI)	2	8	1	$29293.73	$31.60	$31.60
	Available brands
	Mavenclad

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

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
11611DMP	CLADRIBINE cladribine 10 mg tablet, 6 (PI, CMI)	1	6	1	$22010.94	$31.60	$31.60
	Available brands
	Mavenclad

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4326QMP	CLADRIBINE Injection (PI, CMI) Available brands Leustatin (cladribine 10 mg/10 mL injection, 10 mL vial) Litak (cladribine 10 mg/5 mL injection, 5 mL vial)	17 mg	6	$899.39	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Authority Required (STREAMLINED)

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7225GMP	CLADRIBINE Injection (PI, CMI) Available brands Leustatin (cladribine 10 mg/10 mL injection, 10 mL vial) Litak (cladribine 10 mg/5 mL injection, 5 mL vial)	17 mg	6	$955.38	$31.60	$31.60