Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
2784MMP	DEGARELIX degarelix 80 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack (PI, CMI)	1	1	5	$363.78	$31.60	$31.60
	Available brands
	Firmagon 80mg

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

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
2785NMP	DEGARELIX degarelix 120 mg injection [2 vials] (&) inert substance diluent [2 syringes], 1 pack (PI, CMI)	1	1	0	$380.39	$31.60	$31.60
	Available brands
	Firmagon 120mg