Browse by Section 100 Item List
IVF PROGRAM
- Legend
- MPMedical Practitioner
| Prescriber code | Item code | Name, manner of administration and form & strength | Max qty packs |
Max qty units |
No. of repeats |
|---|---|---|---|---|---|
| MP | 9599F | CETRORELIXcetrorelix 250 microgram injection [1 vial] (&) inert substance diluent [1 mL syringe], 1 pack | 10 | 10 | 0 |
| MP | 6182J | CHORIOGONADOTROPIN ALFAchoriogonadotropin alfa 250 microgram/0.5 mL injection, 1 dose | 1 | 1 | 0 |
| MP | 5816D | CORIFOLLITROPIN ALFAcorifollitropin alfa 100 microgram/0.5 mL injection, 0.5 mL syringe | 1 | 1 | 0 |
| MP | 5817E | CORIFOLLITROPIN ALFAcorifollitropin alfa 150 microgram/0.5 mL injection, 0.5 mL syringe | 1 | 1 | 0 |
| MP | 10873G | FOLLITROPIN ALFAfollitropin alfa 150 units (11 microgram)/0.25 mL injection, 5 x 0.25 mL injection devices | 3 | 15 | 0 |
| MP | 10872F | FOLLITROPIN ALFAfollitropin alfa 225 units (16.5 microgram)/0.375 mL injection, 5 x 0.375 mL injection devices | 3 | 15 | 0 |
| MP | 6431L | FOLLITROPIN ALFAfollitropin alfa 300 units (21.84 microgram)/0.5 mL injection, 0.5 mL cartridge | 2 | 2 | 0 |
| MP | 10866X | FOLLITROPIN ALFAfollitropin alfa 300 units (22 microgram)/0.5 mL injection, 5 x 0.5 mL injection devices | 3 | 15 | 0 |
| MP | 6432M | FOLLITROPIN ALFAfollitropin alfa 450 units (32.76 microgram)/0.75 mL injection, 0.75 mL cartridge | 2 | 2 | 0 |
| MP | 10867Y | FOLLITROPIN ALFAfollitropin alfa 450 units (33 microgram)/0.75 mL injection, 5 x 0.75 mL injection devices | 3 | 15 | 0 |
| MP | 10861P | FOLLITROPIN ALFAfollitropin alfa 75 units (5.5 microgram)/0.125 mL injection, 5 x 0.125 mL injection devices | 3 | 15 | 0 |
| MP | 6433N | FOLLITROPIN ALFAfollitropin alfa 900 units (65.52 microgram)/1.5 mL injection, 1.5 mL cartridge | 5 | 5 | 0 |
| MP | 10491E | FOLLITROPIN ALFA + LUTROPIN ALFAfollitropin alfa 150 units + lutropin alfa 75 units [1 vial] (&) inert substance diluent [1 vial], 1 pack | 14 | 14 | 0 |
| MP | 6335K | FOLLITROPIN BETAfollitropin beta 300 units/0.36 mL injection, 0.36 mL cartridge | 2 | 2 | 0 |
| MP | 6336L | FOLLITROPIN BETAfollitropin beta 600 units/0.72 mL injection, 0.72 mL cartridge | 4 | 4 | 0 |
| MP | 6464F | FOLLITROPIN BETAfollitropin beta 900 units/1.08 mL injection, 1.08 mL cartridge | 5 | 5 | 0 |
| MP | 9583J | GANIRELIXganirelix 250 microgram/0.5 mL injection, 0.5 mL syringe | 10 | 10 | 0 |
| MP | 9584K | GANIRELIXganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes | 2 | 10 | 0 |
| MP | 6178E | HUMAN CHORIONIC GONADOTROPHINhuman chorionic gonadotrophin 1500 units injection [3 ampoules] (&) inert substance diluent [3 x 1 mL ampoules], 1 pack | 1 | 1 | 0 |
| MP | 6181H | HUMAN CHORIONIC GONADOTROPHINhuman chorionic gonadotrophin 5000 units injection [1 ampoule] (&) inert substance diluent [1 mL ampoule], 1 pack | 2 | 2 | 0 |
| MP | 2038G | HUMAN MENOPAUSAL GONADOTROPHINhuman menopausal gonadotrophin 1200 units injection [1 vial] (&) inert substance diluent [2 x 1 mL syringes], 1 pack | 4 | 4 | 0 |
| MP | 2036E | HUMAN MENOPAUSAL GONADOTROPHINhuman menopausal gonadotrophin 600 units injection [1 vial] (&) inert substance diluent [1 mL syringe], 1 pack | 3 | 3 | 0 |
| MP | 10465T | LUTROPIN ALFAlutropin alfa 75 units injection [1 vial] (&) inert substance diluent [1 mL vial], 1 pack | 14 | 14 | 0 |
| MP | 5815C | NAFARELINnafarelin 200 microgram/actuation nasal spray, 60 actuations | 2 | 2 | 0 |
| MP | 9608Q | PROGESTERONEprogesterone 100 mg pessary, 15 | 3 | 45 | 0 |
| MP | 10116K | PROGESTERONEprogesterone 100 mg pessary, 21 | 2 | 42 | 0 |
| MP | 10930G | PROGESTERONEprogesterone 200 mg capsule, 42 | 1 | 42 | 0 |
| MP | 9609R | PROGESTERONEprogesterone 200 mg pessary, 15 | 3 | 45 | 0 |
| MP | 6366C | PROGESTERONEprogesterone 8% vaginal gel, 15 applications | 2 | 30 | 0 |
| MP | 10907C | TRIPTORELINtriptorelin acetate 100 microgram/mL injection, 7 x 1 mL syringes | 4 | 28 | 0 |
