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
14040YMP	EVEROLIMUS everolimus 750 microgram tablet, 60 (PI, CMI)	4	240	3	$1736.15	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
5740DMP	EVEROLIMUS everolimus 750 microgram tablet, 60 (PI, CMI)	4	240	5	$1591.24	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
6461CMP	EVEROLIMUS everolimus 750 microgram tablet, 60 (PI, CMI)	4	240	5	$1639.91	$31.60	$31.60
	Available brands
	Certicana
	Everocana

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
8842JMP	EVEROLIMUS everolimus 750 microgram tablet, 60 (PI, CMI)	2	120	3	$872.29	$31.60	$31.60
	Available brands
	Certicana
	Everocana