Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11235HMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$593.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11236JMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$626.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11241PMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$626.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11247YMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	5	$593.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5654NMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	2	$593.70	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
6499CMP	DEFERASIROX deferasirox 125 mg dispersible tablet, 28 (PI, CMI)	6	168	5	$626.13	$31.60	$31.60
	Available brands
	Deferasirox Junoa
	Pharmacor Deferasiroxa