Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

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
12246MMP	SELEXIPAG selexipag 800 microgram tablet, 60 (PI, CMI)	1	60	5	$3498.67	$31.60	$31.60
	Available brands
	Uptravi

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

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
12249QMP	SELEXIPAG selexipag 800 microgram tablet, 60 (PI, CMI)	1	60	5	$3450.00	$31.60	$31.60
	Available brands
	Uptravi

Source	S100 HSD Private
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

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
12253XMP	SELEXIPAG selexipag 800 microgram tablet, 60 (PI, CMI)	1	60	3	$3498.67	$31.60	$31.60
	Available brands
	Uptravi

Source	S100 HSD Public
Body System	CARDIOVASCULAR SYSTEM > ANTIHYPERTENSIVES > OTHER ANTIHYPERTENSIVES

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
12266NMP	SELEXIPAG selexipag 800 microgram tablet, 60 (PI, CMI)	1	60	3	$3450.00	$31.60	$31.60
	Available brands
	Uptravi