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

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
10347NMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	2	60	5	$52.88	$31.60	$31.60
	Available brands
	CIPLA TENOFOVIR + EMTRICITABINE 300/200a
	TENOFOVIR/EMTRICITABINE 300/200 APXa
	TENOFOVIR/EMTRICITABINE 300/200 ARXa

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

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
11149TMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil maleate 300 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	2	60	5	$52.88	$31.60	$31.60
	Available brands
	Tenofovir Disoproxil Emtricitabine Viatris 300/200a

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
11276LMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	1	30	2	$35.29	$31.60	$31.60
	Available brands
	CIPLA TENOFOVIR + EMTRICITABINE 300/200a
	TENOFOVIR/EMTRICITABINE 300/200 APXa
	TENOFOVIR/EMTRICITABINE 300/200 ARXa

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
11296MMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil maleate 300 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	1	30	2	$35.29	$31.60	$31.60
	Available brands
	Tenofovir Disoproxil Emtricitabine Viatris 300/200a

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

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
12506FMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil succinate 301 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	2	60	5	$52.88	$31.60	$31.60
	Available brands
	Tenofovir/Emtricitabine Sandoz 301/200a

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

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
12542DMPNP	TENOFOVIR DISOPROXIL + EMTRICITABINE tenofovir disoproxil succinate 301 mg + emtricitabine 200 mg tablet, 30 (PI, CMI)	1	30	2	$35.29	$31.60	$31.60
	Available brands
	Tenofovir/Emtricitabine Sandoz 301/200a