Source	S100 HSD Community Access
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
10286JMPNP	RALTEGRAVIR raltegravir 400 mg tablet, 60 (PI, CMI)	2	120	5	$883.56	$31.60	$31.60
	Available brands
	Isentress