Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

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
9319LMPNP	DABIGATRAN dabigatran etexilate 110 mg capsule, 10 (PI, CMI)	2	20	1	$26.79	$28.24	$31.60
	Available brands
	Pradaxa

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

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
9323QMPNP	DABIGATRAN dabigatran etexilate 110 mg capsule, 10 (PI, CMI)	2	20	0	$26.79	$28.24	$31.60
	Available brands
	Pradaxa