Source	Repatriation Pharmaceutical Benefits
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

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
13758DMP	FLUOROURACILR fluorouracil 4% cream, 20 g (PI, CMI)
	Available brands
	TOLAK 4% ONCE DAILY	1	1	0	$68.30	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

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
4222FMP	FLUOROURACILR fluorouracil 5% cream, 20 g (PI, CMI)
	Available brands
	APOC-5FUa	1	1	0	$67.65	$7.70	$7.70
	Efudixa	1	1	0	$76.68	$7.70	$7.70
	Fluorouracil Viatrisa	1	1	0	$67.65	$7.70	$7.70

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4394GMP	FLUOROURACIL Injection (PI, CMI) Available brands Fluorouracil Accord (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Accord (fluorouracil 2.5 g/50 mL injection, 50 mL vial) Fluorouracil Accord (fluorouracil 500 mg/10 mL injection, 10 mL vial) Fluorouracil Accord (fluorouracil 5 g/100 mL injection, 100 mL vial) Fluorouracil Ebewe (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Ebewe (fluorouracil 5 g/100 mL injection, 100 mL vial)	5500 mg	11	$112.97	$31.60	$31.60

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4431FMP	FLUOROURACIL Injection (PI, CMI) Available brands Fluorouracil Accord (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Accord (fluorouracil 2.5 g/50 mL injection, 50 mL vial) Fluorouracil Accord (fluorouracil 500 mg/10 mL injection, 10 mL vial) Fluorouracil Accord (fluorouracil 5 g/100 mL injection, 100 mL vial) Fluorouracil Ebewe (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Ebewe (fluorouracil 5 g/100 mL injection, 100 mL vial)	1000 mg	23	$95.97	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7234RMP	FLUOROURACIL Injection (PI, CMI) Available brands Fluorouracil Accord (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Accord (fluorouracil 2.5 g/50 mL injection, 50 mL vial) Fluorouracil Accord (fluorouracil 500 mg/10 mL injection, 10 mL vial) Fluorouracil Accord (fluorouracil 5 g/100 mL injection, 100 mL vial) Fluorouracil Ebewe (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Ebewe (fluorouracil 5 g/100 mL injection, 100 mL vial)	5500 mg	11	$157.96	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7239BMP	FLUOROURACIL Injection (PI, CMI) Available brands Fluorouracil Accord (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Accord (fluorouracil 2.5 g/50 mL injection, 50 mL vial) Fluorouracil Accord (fluorouracil 500 mg/10 mL injection, 10 mL vial) Fluorouracil Accord (fluorouracil 5 g/100 mL injection, 100 mL vial) Fluorouracil Ebewe (fluorouracil 1 g/20 mL injection, 20 mL vial) Fluorouracil Ebewe (fluorouracil 5 g/100 mL injection, 100 mL vial)	1000 mg	23	$140.72	$31.60	$31.60