Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS

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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
14115XMP	ELTROMBOPAG eltrombopag 25 mg tablet, 28 (PI, CMI)	3	84	3	$3733.02	$31.60	$31.60
	Available brands
	Revolade