Source	Palliative Care
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
5423KMPNP	METHYLNALTREXONEP methylnaltrexone bromide 12 mg/0.6 mL injection, 0.6 mL vial (PI, CMI)	7	7	0	$244.99	$31.60	$31.60
	Available brands
	Relistor

Source	Palliative Care
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS FOR CONSTIPATION > DRUGS FOR CONSTIPATION

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
5424LMPNP	METHYLNALTREXONEP methylnaltrexone bromide 12 mg/0.6 mL injection, 7 x 0.6 mL vials (PI, CMI)	1	7	0	$244.99	$31.60	$31.60
	Available brands
	Relistor