Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Caution

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
12663LMPOP	CICLOSPORIN ciclosporin 0.1% eye drops, 30 x 0.3 mL ampoules (PI, CMI)	1	1	5	$83.35	$31.60	$31.60
	Available brands
	Ikervis

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Caution

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
13284EMPOP	CICLOSPORIN ciclosporin 0.09% eye drops, 60 x 0.25 mL ampoules (PI, CMI)	1	1	5	$83.35	$31.60	$31.60
	Available brands
	Cequa

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

Caution

Restricted Benefit

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
13883QMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	3	$108.27	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 25a

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

Caution

Restricted Benefit

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
13910DMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	3	$215.59	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 50a

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

Caution

Restricted Benefit

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
13911EMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	3	$430.47	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 100a

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

Caution

Restricted Benefit

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
13999TMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	4	240	3	$176.47	$31.60	$31.60
	Available brands
	Neoral 10

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

Caution

Restricted Benefit

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
14001XMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	3	$1391.63	$31.60	$31.60
	Available brands
	Neoral

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5631JMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$54.10	$31.60	$31.60
	Available brands
	Sandimmun

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5632KMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	5	$74.40	$31.60	$31.60
	Available brands
	Neoral 10

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5633LMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	5	$1263.16	$31.60	$31.60
	Available brands
	Neoral

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5634MMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	5	$88.16	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 25a

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5635NMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	5	$183.48	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 50a

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5636PMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	5	$373.80	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 100a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6109MMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$66.77	$31.60	$31.60
	Available brands
	Sandimmun

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6125JMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	5	$1311.83	$31.60	$31.60
	Available brands
	Neoral

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6232BMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	5	$87.07	$31.60	$31.60
	Available brands
	Neoral 10

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6352HMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	5	$100.83	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 25a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6353JMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	5	$199.47	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 50a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6354KMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	5	$397.43	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 100a

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

Caution

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
8657PMP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	3	$93.47	$31.60	$31.60
	Available brands
	Neoral 10

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

Caution

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
8658QMP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	2	60	3	$60.87	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 25a

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

Caution

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
8659RMP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	2	60	3	$112.11	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 50a

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

Caution

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
8660TMP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	2	60	3	$219.47	$31.60	$31.60
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Cyclosporin Sandoza
	Neoral 100a

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

Caution

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
8661WMP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	2	2	3	$700.05	$31.60	$31.60
	Available brands
	Neoral