Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
3388HMP	SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI)	1	1	1	$659.14	$31.60	$31.60
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5818FMP	SOMATROPIN somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$166.24	$31.60	$31.60
	Available brands
	Norditropin FlexPro

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5819GMP	SOMATROPIN somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$333.90	$31.60	$31.60
	Available brands
	Norditropin FlexPro

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5820HMP	SOMATROPIN somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$496.51	$31.60	$31.60
	Available brands
	Norditropin FlexPro

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5822KMP	SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI)	1	1	1	$197.75	$31.60	$31.60
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5824MMP	SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$386.83	$31.60	$31.60
	Available brands
	Saizen