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
13909CMP	TACROLIMUS tacrolimus 5 mg capsule, 50 (PI, CMI)	2	100	3	$720.99	$31.60	$31.60
	Available brands
	Pharmacor Tacrolimus 5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza

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
6217FMP	TACROLIMUS tacrolimus 5 mg capsule, 50 (PI, CMI)	2	100	5	$665.05	$31.60	$31.60
	Available brands
	Pharmacor Tacrolimus 5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza

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
8648EMP	TACROLIMUS tacrolimus 5 mg capsule, 50 (PI, CMI)	1	50	3	$364.73	$31.60	$31.60
	Available brands
	Pharmacor Tacrolimus 5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza

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
9561FMP	TACROLIMUS tacrolimus 5 mg capsule, 50 (PI, CMI)	2	100	5	$631.14	$31.60	$31.60
	Available brands
	Pharmacor Tacrolimus 5a
	Prografa
	Tacrografa
	Tacrolimus Sandoza