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

Caution

Note

Restricted Benefit

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
14037TMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 50 (PI, CMI)	12	600	5	$181.11	$31.60	$31.60
	Available brands
	Ceptolatea

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

Caution

Note

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
1836PMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 50 (PI, CMI)	6	300	5	$95.67	$31.60	$31.60
	Available brands
	Ceptolatea

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
1837QMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 50 (PI, CMI)	12	600	5	$167.67	$31.60	$31.60
	Available brands
	Ceptolatea

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
1839TMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 50 (PI, CMI)	12	600	5	$152.88	$31.60	$31.60
	Available brands
	Ceptolatea