Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
13884RMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 100 (PI, CMI)	6	600	5	$181.11	$31.60	$31.60
	Available brands
	APO-Mycophenolatea
	Mycophenolate Sandoza
	Pharmacor Mycophenolate 250a

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

Caution

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
6208RMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 100 (PI, CMI)	6	600	5	$167.67	$31.60	$31.60
	Available brands
	APO-Mycophenolatea
	Mycophenolate Sandoza
	Pharmacor Mycophenolate 250a

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Note

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
8649FMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 100 (PI, CMI)	3	300	5	$95.67	$31.60	$31.60
	Available brands
	APO-Mycophenolatea
	Mycophenolate Sandoza
	Pharmacor Mycophenolate 250a

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

Caution

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
9501CMP	MYCOPHENOLATE mycophenolate mofetil 250 mg capsule, 100 (PI, CMI)	6	600	5	$152.88	$31.60	$31.60
	Available brands
	APO-Mycophenolatea
	Mycophenolate Sandoza
	Pharmacor Mycophenolate 250a