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
14039XMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	2	60	3	$853.27	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR 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
5451XMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	1	30	3	$430.86	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR 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
9666RMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	2	60	5	$750.44	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR 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
9683PMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	2	60	5	$789.13	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza