Source	S100 HSD Public
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
9587NMP	EPOETIN LAMBDA epoetin lambda 4000 units/0.4 mL injection, 6 x 0.4 mL syringes (PI, CMI)	2	12	5	$687.94	$31.60	$31.60
	Available brands
	Novicrit

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
9588PMP	EPOETIN LAMBDA epoetin lambda 5000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)	2	12	5	$899.09	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9589QMP	EPOETIN LAMBDA epoetin lambda 5000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)	2	12	5	$856.46	$31.60	$31.60
	Available brands
	Novicrit

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
9590RMP	EPOETIN LAMBDA epoetin lambda 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$1065.03	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9591TMP	EPOETIN LAMBDA epoetin lambda 6000 units/0.6 mL injection, 6 x 0.6 mL syringes (PI, CMI)	2	12	5	$1016.66	$31.60	$31.60
	Available brands
	Novicrit

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
9593XMP	EPOETIN LAMBDA epoetin lambda 8000 units/0.8 mL injection, 6 x 0.8 mL syringes (PI, CMI)	2	12	5	$1366.97	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9594YMP	EPOETIN LAMBDA epoetin lambda 8000 units/0.8 mL injection, 6 x 0.8 mL syringes (PI, CMI)	2	12	5	$1318.60	$31.60	$31.60
	Available brands
	Novicrit

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
9595BMP	EPOETIN LAMBDA epoetin lambda 10 000 units/mL injection, 6 x 1 mL syringes (PI, CMI)	2	12	5	$1644.33	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9596CMP	EPOETIN LAMBDA epoetin lambda 10 000 units/mL injection, 6 x 1 mL syringes (PI, CMI)	2	12	5	$1595.96	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9668WMP	EPOETIN LAMBDA epoetin lambda 1000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)	2	12	5	$226.24	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9669XMP	EPOETIN LAMBDA epoetin lambda 2000 units/mL injection, 6 x 1 mL syringes (PI, CMI)	2	12	5	$418.60	$31.60	$31.60
	Available brands
	Novicrit

Source	S100 HSD Public
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
9670YMP	EPOETIN LAMBDA epoetin lambda 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$540.20	$31.60	$31.60
	Available brands
	Novicrit

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
9685RMP	EPOETIN LAMBDA epoetin lambda 1000 units/0.5 mL injection, 6 x 0.5 mL syringes (PI, CMI)	2	12	5	$243.65	$31.60	$31.60
	Available brands
	Novicrit

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
9686TMP	EPOETIN LAMBDA epoetin lambda 2000 units/mL injection, 6 x 1 mL syringes (PI, CMI)	2	12	5	$443.71	$31.60	$31.60
	Available brands
	Novicrit

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
9687WMP	EPOETIN LAMBDA epoetin lambda 3000 units/0.3 mL injection, 6 x 0.3 mL syringes (PI, CMI)	2	12	5	$570.17	$31.60	$31.60
	Available brands
	Novicrit

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
9688XMP	EPOETIN LAMBDA epoetin lambda 4000 units/0.4 mL injection, 6 x 0.4 mL syringes (PI, CMI)	2	12	5	$723.83	$31.60	$31.60
	Available brands
	Novicrit