Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
6437TMP	SIROLIMUS sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)	2	2	5	$969.35	$31.60	$31.60
	Available brands
	Rapamune

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

Caution

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
8725FMP	SIROLIMUS sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)	1	1	3	$521.52	$31.60	$31.60
	Available brands
	Rapamune

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
9550PMP	SIROLIMUS sirolimus 1 mg/mL oral liquid, 60 mL (PI, CMI)	2	2	5	$924.02	$31.60	$31.60
	Available brands
	Rapamune