Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
9064CMP	GOSERELIN (&) BICALUTAMIDE goserelin 3.6 mg implant [1] (&) bicalutamide 50 mg tablet [28], 1 pack (PI, CMI)	1	1	5	$413.71	$31.60	$31.60
	Available brands
	ZolaCos CP 3.6/50

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
9065DMP	GOSERELIN (&) BICALUTAMIDE goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [28], 1 pack (PI, CMI)	1	1	0	$1043.25	$31.60	$31.60
	Available brands
	ZolaCos CP 10.8/50(28)

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
9066EMP	GOSERELIN (&) BICALUTAMIDE goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [84], 1 pack (PI, CMI)	1	1	1	$1322.92	$31.60	$31.60
	Available brands
	ZolaCos CP 10.8/50(84)