Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

Note

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
14594DMP	AFLIBERCEPT aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (PI, CMI)	1	1	2	$934.08	$31.60	$31.60
	Available brands
	Eylea

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
14626TMP	AFLIBERCEPT aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (PI, CMI)	1	1	2	$934.08	$31.60	$31.60
	Available brands
	Eylea

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

Note

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
14627WMP	AFLIBERCEPT aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (PI, CMI)	1	1	5	$934.08	$31.60	$31.60
	Available brands
	Eylea

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OCULAR VASCULAR DISORDER AGENTS

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
14635GMP	AFLIBERCEPT aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (PI, CMI)	1	1	5	$934.08	$31.60	$31.60
	Available brands
	Eylea