Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
10386PMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$3779.80	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
10387QMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$3731.43	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
10406QMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$2798.58	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
10417GMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$2846.95	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12661JMP	POMALIDOMIDE pomalidomide 4 mg capsule, 14 (PI, CMI)	1	14	2	$2535.99	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12665NMP	POMALIDOMIDE pomalidomide 4 mg capsule, 14 (PI, CMI)	1	14	2	$2487.62	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12666PMP	POMALIDOMIDE pomalidomide 3 mg capsule, 14 (PI, CMI)	1	14	2	$1865.72	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12668RMP	POMALIDOMIDE pomalidomide 3 mg capsule, 14 (PI, CMI)	1	14	2	$1914.09	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide