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
14615FMP	LENALIDOMIDE lenalidomide 20 mg capsule, 14 (PI, CMI)	1	14	3	$886.91	$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
14623PMP	LENALIDOMIDE lenalidomide 20 mg capsule, 14 (PI, CMI)	1	14	3	$844.46	$31.60	$31.60
	Available brands
	Lenalide