Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Restricted Benefit

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
10103RMP	EXEMESTANE exemestane 25 mg tablet, 30 (PI, CMI)	1	30	5	$58.89	$31.60	$31.60
	Available brands
	APO-Exemestanea
	EXEMESTANE-WGRa
	Exemestane GHa
	Exemestane Sandoza
	Aromasina * Additional charge for this brand is $3.28B	1	30	5	$62.17	$31.60	$34.88

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Note

Restricted Benefit

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
13857HMPNP	EXEMESTANE exemestane 25 mg tablet, 30 (PI, CMI)	2	60	5	$104.33	$31.60	$31.60
	Available brands
	APO-Exemestanea
	EXEMESTANE-WGRa
	Exemestane GHa
	Exemestane Sandoza
	Aromasina * Additional charge for this brand is $6.56B	2	60	5	$110.89	$31.60	$38.16

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Restricted Benefit

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
14036RMP	EXEMESTANE exemestane 25 mg tablet, 30 (PI, CMI)	2	60	5	$104.33	$31.60	$31.60
	Available brands
	APO-Exemestanea
	EXEMESTANE-WGRa
	Exemestane GHa
	Exemestane Sandoza
	Aromasina * Additional charge for this brand is $6.56B	2	60	5	$110.89	$31.60	$38.16

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONE ANTAGONISTS AND RELATED AGENTS

Note

Restricted Benefit

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
8506QMPNP	EXEMESTANE exemestane 25 mg tablet, 30 (PI, CMI)	1	30	5	$58.89	$31.60	$31.60
	Available brands
	APO-Exemestanea
	EXEMESTANE-WGRa
	Exemestane GHa
	Exemestane Sandoza
	Aromasina * Additional charge for this brand is $3.28B	1	30	5	$62.17	$31.60	$34.88