Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
14106KMP	DIFELIKEFALIN difelikefalin 50 microgram/mL injection, 12 x 1 mL vials (PI, CMI)	1	12	5	$569.97	$31.60	$31.60
	Available brands
	Korsuva

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
14110PMP	DIFELIKEFALIN difelikefalin 50 microgram/mL injection, 12 x 1 mL vials (PI, CMI)	1	12	2	$569.97	$31.60	$31.60
	Available brands
	Korsuva

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
14140FMP	DIFELIKEFALIN difelikefalin 50 microgram/mL injection, 12 x 1 mL vials (PI, CMI)	1	12	2	$540.00	$31.60	$31.60
	Available brands
	Korsuva

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
14141GMP	DIFELIKEFALIN difelikefalin 50 microgram/mL injection, 12 x 1 mL vials (PI, CMI)	1	12	5	$540.00	$31.60	$31.60
	Available brands
	Korsuva