Source	Section 100 (CT)
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

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
12925GMP	MYCOBACTERIUM BOVIS BCG DANISH STRAIN Mycobacterium bovis BCG Danish strain 30 mg injection, 4 vials (PI, CMI)	3	3	1	$1317.00	$31.60	$31.60
	Available brands
	VesiCulture

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

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
12931NMP	MYCOBACTERIUM BOVIS BCG DANISH STRAIN Mycobacterium bovis BCG Danish strain 30 mg injection, 4 vials (PI, CMI)	3	3	1	$1448.16	$31.60	$31.60
	Available brands
	VesiCulture