Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
10288LMP	CLOZAPINE clozapine 200 mg tablet, 100 (PI, CMI)	2	200	0	$441.68	$31.60	$31.60
	Available brands
	Clopine 200
	Clozitor

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
10289MMP	CLOZAPINE clozapine 25 mg tablet, 100 (PI, CMI)	2	200	0	$68.38	$31.60	$31.60
	Available brands
	Clopine 25
	Clozaril 25
	Clozitor

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
10302FMP	CLOZAPINE clozapine 50 mg tablet, 100 (PI, CMI)	2	200	0	$124.30	$31.60	$31.60
	Available brands
	Clopine 50
	Clozitor

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
10341GMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.28	$31.60	$31.60
	Available brands
	Clopine Suspension

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
10358EMP	CLOZAPINE clozapine 100 mg tablet, 100 (PI, CMI)	2	200	0	$225.28	$31.60	$31.60
	Available brands
	Clopine 100
	Clozaril 100
	Clozitor

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
11415TMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.28	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Community Access
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
11422EMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.28	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
11433RMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$135.00	$31.60	$31.60
	Available brands
	Versacloz

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
5626DMP	CLOZAPINE clozapine 50 mg tablet, 100 (PI, CMI)	2	200	0	$110.98	$31.60	$31.60
	Available brands
	Clopine 50
	Clozitor

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
5627EMP	CLOZAPINE clozapine 200 mg tablet, 100 (PI, CMI)	2	200	0	$416.16	$31.60	$31.60
	Available brands
	Clopine 200
	Clozitor

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
5628FMP	CLOZAPINE clozapine 25 mg tablet, 100 (PI, CMI)	2	200	0	$55.50	$31.60	$31.60
	Available brands
	Clopine 25
	Clozaril 25
	Clozitor

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
5629GMP	CLOZAPINE clozapine 100 mg tablet, 100 (PI, CMI)	2	200	0	$208.08	$31.60	$31.60
	Available brands
	Clopine 100
	Clozaril 100
	Clozitor

Source	S100 HSD Public
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
5630HMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$135.00	$31.60	$31.60
	Available brands
	Clopine Suspension

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
6101DMP	CLOZAPINE clozapine 25 mg tablet, 100 (PI, CMI)	2	200	0	$68.38	$31.60	$31.60
	Available brands
	Clopine 25
	Clozaril 25
	Clozitor

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
6102EMP	CLOZAPINE clozapine 100 mg tablet, 100 (PI, CMI)	2	200	0	$225.28	$31.60	$31.60
	Available brands
	Clopine 100
	Clozaril 100
	Clozitor

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
6417RMP	CLOZAPINE clozapine 50 mg tablet, 100 (PI, CMI)	2	200	0	$124.30	$31.60	$31.60
	Available brands
	Clopine 50
	Clozitor

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
6418TMP	CLOZAPINE clozapine 200 mg tablet, 100 (PI, CMI)	2	200	0	$441.68	$31.60	$31.60
	Available brands
	Clopine 200
	Clozitor

Source	S100 HSD Private
Body System	NERVOUS SYSTEM > PSYCHOLEPTICS > ANTIPSYCHOTICS

Note

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
9632YMP	CLOZAPINE clozapine 50 mg/mL oral liquid, 100 mL (PI, CMI)	1	1	0	$149.28	$31.60	$31.60
	Available brands
	Clopine Suspension