Source	S100 HSD Public
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
5718YMP	EPOETIN ALFA epoetin alfa 40 000 units/mL injection, 1 mL syringe (PI, CMI)	2	2	5	$790.12	$31.60	$31.60
	Available brands
	Eprex 40,000

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6339PMP	EPOETIN ALFA epoetin alfa 40 000 units/mL injection, 1 mL syringe (PI, CMI)	2	2	5	$830.39	$31.60	$31.60
	Available brands
	Eprex 40,000