Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6320PMP	DARBEPOETIN ALFA darbepoetin alfa 10 microgram/0.4 mL injection, 4 x 0.4 mL syringes (PI, CMI)	2	8	5	$241.71	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6321QMP	DARBEPOETIN ALFA darbepoetin alfa 20 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$447.81	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6322RMP	DARBEPOETIN ALFA darbepoetin alfa 30 microgram/0.3 mL injection, 4 x 0.3 mL syringes (PI, CMI)	2	8	5	$609.57	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6323TMP	DARBEPOETIN ALFA darbepoetin alfa 40 microgram/0.4 mL injection, 4 x 0.4 mL syringes (PI, CMI)	2	8	5	$738.09	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6324WMP	DARBEPOETIN ALFA darbepoetin alfa 50 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$910.55	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6325XMP	DARBEPOETIN ALFA darbepoetin alfa 60 microgram/0.3 mL injection, 4 x 0.3 mL syringes (PI, CMI)	2	8	5	$1067.01	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6326YMP	DARBEPOETIN ALFA darbepoetin alfa 100 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$1699.53	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6365BMP	DARBEPOETIN ALFA darbepoetin alfa 150 microgram/0.3 mL injection, 4 x 0.3 mL syringes (PI, CMI)	2	8	5	$2508.55	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6438WMP	DARBEPOETIN ALFA darbepoetin alfa 80 microgram/0.4 mL injection, 4 x 0.4 mL syringes (PI, CMI)	2	8	5	$1389.19	$31.60	$31.60
	Available brands
	Aranesp

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIANEMIC PREPARATIONS > OTHER ANTIANEMIC PREPARATIONS

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
6488LMP	DARBEPOETIN ALFA darbepoetin alfa 20 microgram/0.5 mL injection, 0.5 mL pen device (PI, CMI)	8	8	5	$447.81	$31.60	$31.60
	Available brands
	Aranesp SureClick