Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > CYTOTOXIC ANTIBIOTICS AND RELATED SUBSTANCES

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4364QMP	DOXORUBICIN HYDROCHLORIDE (AS PEGYLATED LIPOSOMAL) Injection (PI, CMI) Available brands Caelyx (doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial) Caelyx (doxorubicin hydrochloride (as pegylated liposomal) 50 mg/25 mL injection, 25 mL vial) Liposomal Doxorubicin SUN (doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial) Liposomal Doxorubicin SUN (doxorubicin hydrochloride (as pegylated liposomal) 50 mg/25 mL injection, 25 mL vial)	100 mg	5	$749.27	$31.60	$31.60

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > CYTOTOXIC ANTIBIOTICS AND RELATED SUBSTANCES

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
5705GMPNP	DOXORUBICIN HYDROCHLORIDE (AS PEGYLATED LIPOSOMAL) doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial (PI, CMI)	4	4	5	$553.68	$31.60	$31.60
	Available brands
	Caelyxa
	Liposomal Doxorubicin SUNa

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > CYTOTOXIC ANTIBIOTICS AND RELATED SUBSTANCES

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
6249XMPNP	DOXORUBICIN HYDROCHLORIDE (AS PEGYLATED LIPOSOMAL) doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial (PI, CMI)	4	4	5	$584.51	$31.60	$31.60
	Available brands
	Caelyxa
	Liposomal Doxorubicin SUNa

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > CYTOTOXIC ANTIBIOTICS AND RELATED SUBSTANCES

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7230MMP	DOXORUBICIN HYDROCHLORIDE (AS PEGYLATED LIPOSOMAL) Injection (PI, CMI) Available brands Caelyx (doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial) Caelyx (doxorubicin hydrochloride (as pegylated liposomal) 50 mg/25 mL injection, 25 mL vial) Liposomal Doxorubicin SUN (doxorubicin hydrochloride (as pegylated liposomal) 20 mg/10 mL injection, 10 mL vial) Liposomal Doxorubicin SUN (doxorubicin hydrochloride (as pegylated liposomal) 50 mg/25 mL injection, 25 mL vial)	100 mg	5	$803.16	$31.60	$31.60