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

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
13081LMP	DECITABINE + CEDAZURIDINE decitabine 35 mg + cedazuridine 100 mg tablet, 5 (PI, CMI)	1	5	5	$4862.13	$31.60	$31.60
	Available brands
	Inqovi 35/100

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

Caution

Note

Authority Required

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
13087TMP	DECITABINE + CEDAZURIDINE decitabine 35 mg + cedazuridine 100 mg tablet, 5 (PI, CMI)	1	5	2	$4862.13	$31.60	$31.60
	Available brands
	Inqovi 35/100

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

Caution

Note

Authority Required

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
13107WMP	DECITABINE + CEDAZURIDINE decitabine 35 mg + cedazuridine 100 mg tablet, 5 (PI, CMI)	1	5	5	$4862.13	$31.60	$31.60
	Available brands
	Inqovi 35/100

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

Caution

Note

Authority Required

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
13133FMP	DECITABINE + CEDAZURIDINE decitabine 35 mg + cedazuridine 100 mg tablet, 5 (PI, CMI)	1	5	2	$4862.13	$31.60	$31.60
	Available brands
	Inqovi 35/100