Source	Section 100 (CT)
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
1904FMP	FOLINIC ACID folinic acid 100 mg/10 mL injection, 10 x 10 mL ampoules (PI, CMI)	1	10	1	$43.80	$31.60	$31.60
	Available brands
	Leucovorin Calcium (Pfizer Australia Pty Ltd)