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

Caution

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
13938NMP	MYCOPHENOLATE mycophenolate 360 mg enteric tablet, 120 (PI, CMI)	2	240	5	$395.83	$31.60	$31.60
	Available brands
	MYCOTEXa
	Mycophenolic Acid ARXa
	Myfortica

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

Caution

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
2193KMP	MYCOPHENOLATE mycophenolate 360 mg enteric tablet, 120 (PI, CMI)	1	120	5	$202.14	$31.60	$31.60
	Available brands
	MYCOTEXa
	Mycophenolic Acid ARXa
	Myfortica

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
6370GMP	MYCOPHENOLATE mycophenolate 360 mg enteric tablet, 120 (PI, CMI)	2	240	5	$365.51	$31.60	$31.60
	Available brands
	MYCOTEXa
	Mycophenolic Acid ARXa
	Myfortica

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
9504FMP	MYCOPHENOLATE mycophenolate 360 mg enteric tablet, 120 (PI, CMI)	2	240	5	$343.12	$31.60	$31.60
	Available brands
	MYCOTEXa
	Mycophenolic Acid ARXa
	Myfortica