Source	Repatriation Pharmaceutical Benefits
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
10106XMP	IMIQUIMODR imiquimod 5% cream, 2 x 2 g (PI, CMI)
	Available brands
	Aldara Pumpa	1	1	1	$97.34	$7.70	$7.70

Source	General Schedule
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
2546BMP	IMIQUIMOD imiquimod 5% cream, 12 x 250 mg sachets (PI, CMI)	1	1	1	$88.99	$31.60	$31.60
	Available brands
	APO-Imiquimoda
	Aldiqa
	Aldaraa * Additional charge for this brand is $3.30B	1	1	1	$92.29	$31.60	$34.90

Source	General Schedule
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
2637TMP	IMIQUIMOD imiquimod 5% cream, 2 x 2 g (PI, CMI)
	Available brands
	Aldara Pumpa * Additional charge for this brand is $8.35B	1	1	1	$97.34	$31.60	$39.95

Source	Repatriation Pharmaceutical Benefits
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
4134NMP	IMIQUIMODR imiquimod 5% cream, 12 x 250 mg sachets (PI, CMI)
	Available brands
	Aldaraa	1	1	1	$92.29	$7.70	$7.70
	Aldiqa	1	1	1	$88.99	$7.70	$7.70
	APO-Imiquimoda	1	1	1	$88.99	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
4559YMP	IMIQUIMODR imiquimod 5% cream, 12 x 250 mg sachets (PI, CMI)
	Available brands
	Aldaraa	1	1	1	$92.29	$7.70	$7.70
	Aldiqa	1	1	1	$88.99	$7.70	$7.70
	APO-Imiquimoda	1	1	1	$88.99	$7.70	$7.70