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
6464FMP	FOLLITROPIN BETA follitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge (PI, CMI)	5	5	0	$1374.12	$31.60	$31.60
	Available brands
	Puregon 900 IU/1.08 mLa
	Recagona

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

Note

Restricted Benefit

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
8871XMP	FOLLITROPIN BETA follitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge (PI, CMI)	2	2	5	$607.01	$31.60	$31.60
	Available brands
	Puregon 900 IU/1.08 mLa
	Recagona