Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14600KMP	ETRASIMOD etrasimod 2 mg tablet, 28 (PI, CMI)	1	28	3	$1434.07	$31.60	$31.60
	Available brands
	Velsipity

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14601LMP	ETRASIMOD etrasimod 2 mg tablet, 28 (PI, CMI)	1	28	5	$1434.07	$31.60	$31.60
	Available brands
	Velsipity