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

Caution

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
11042EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1650.31	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
11062FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
12011EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	1	$1650.31	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
12020PMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	3	$1650.31	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
12026YMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	3	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
12062WMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	1	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
5785LMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

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

Caution

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
9644NMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1650.31	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid