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

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
13803LMP	POMALIDOMIDE pomalidomide 1 mg capsule, 21 (PI, CMI)	1	21	0	$932.87	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide

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

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
13814CMP	POMALIDOMIDE pomalidomide 1 mg capsule, 21 (PI, CMI)	1	21	0	$978.85	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide