Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13177MMP	FARICIMAB faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)	1	1	5	$934.08	$31.60	$31.60
	Available brands
	Vabysmo

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13183WMP	FARICIMAB faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)	1	1	2	$934.08	$31.60	$31.60
	Available brands
	Vabysmo

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13195LMP	FARICIMAB faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)	1	1	2	$934.08	$31.60	$31.60
	Available brands
	Vabysmo

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
13198PMP	FARICIMAB faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (PI, CMI)	1	1	5	$934.08	$31.60	$31.60
	Available brands
	Vabysmo