Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

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
5816DMP	CORIFOLLITROPIN ALFA corifollitropin alfa 100 microgram/0.5 mL injection, 0.5 mL syringe (PI, CMI)	1	1	0	$393.63	$31.60	$31.60
	Available brands
	Elonva

Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

Note

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
5817EMP	CORIFOLLITROPIN ALFA corifollitropin alfa 150 microgram/0.5 mL injection, 0.5 mL syringe (PI, CMI)	1	1	0	$640.82	$31.60	$31.60
	Available brands
	Elonva