Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5631JMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$54.10	$31.60	$31.60
	Available brands
	Sandimmun

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6109MMP	CICLOSPORIN ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (PI, CMI)	1	10	0	$66.77	$31.60	$31.60
	Available brands
	Sandimmun