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

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
11979LMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
11989BMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	3	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12621GMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12624KMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	3	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12625LMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	3	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12648QMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12827DMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	3	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12828EMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	4	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12829FMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	5	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12831HMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12835MMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	3	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
12836NMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	4	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13249HMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	5	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13250JMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13256QMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	1	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13262BMP	UPADACITINIB upadacitinib 45 mg modified release tablet, 28 (PI, CMI)	1	28	3	$2717.45	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13265EMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	1	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13343GMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13350PMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	3	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13746LMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	5	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13762HMP	UPADACITINIB upadacitinib 30 mg modified release tablet, 28 (PI, CMI)	1	28	2	$2077.76	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13768PMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq

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

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
13771TMP	UPADACITINIB upadacitinib 45 mg modified release tablet, 28 (PI, CMI)	1	28	2	$2717.45	$31.60	$31.60
	Available brands
	Rinvoq

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
14125KMP	UPADACITINIB upadacitinib 15 mg modified release tablet, 28 (PI, CMI)	1	28	5	$1272.78	$31.60	$31.60
	Available brands
	Rinvoq