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
14582LMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14583MMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14588TMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$1266.69	$31.60	$31.60
	Available brands
	Lenalide

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
14592BMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	3	$1266.69	$31.60	$31.60
	Available brands
	Lenalide

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
14608WMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$1266.69	$31.60	$31.60
	Available brands
	Lenalide

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
14609XMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	1	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14610YMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14616GMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$1266.69	$31.60	$31.60
	Available brands
	Lenalide

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
14624QMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14631CMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	3	$1315.36	$31.60	$31.60
	Available brands
	Lenalide

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
14632DMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$1266.69	$31.60	$31.60
	Available brands
	Lenalide

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
14633EMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	1	$1266.69	$31.60	$31.60
	Available brands
	Lenalide