Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
12091JMP	LORLATINIB lorlatinib 100 mg tablet, 30 (PI, CMI)	1	30	3	$6765.19	$31.60	$31.60
	Available brands
	Lorviqua

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
12096PMP	LORLATINIB lorlatinib 25 mg tablet, 90 (PI, CMI)	1	90	3	$6765.19	$31.60	$31.60
	Available brands
	Lorviqua