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
5661YMP	DESFERRIOXAMINE desferrioxamine mesilate 2 g injection, 1 vial (PI, CMI)	60	60	5	$2614.80	$31.60	$31.60
	Available brands
	DBL Desferrioxamine Mesilate

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
6270BMP	DESFERRIOXAMINE desferrioxamine mesilate 2 g injection, 1 vial (PI, CMI)	60	60	5	$2663.67	$31.60	$31.60
	Available brands
	DBL Desferrioxamine Mesilate