Source	S100 IVF
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
9583JMP	GANIRELIX ganirelix 250 microgram/0.5 mL injection, 0.5 mL syringe (PI, CMI)	10	10	0	$266.27	$31.60	$31.60
	Available brands
	GANIRELIX SUNa
	Orgalutrana

Source	S100 IVF
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
9584KMP	GANIRELIX ganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes (PI, CMI)	2	10	0	$266.27	$31.60	$31.60
	Available brands
	GANIRELIX SUNa
	Ganirelix Theramexa
	Orgalutrana