Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10442NMP	SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI)	1	1	1	$659.35	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10458KMP	SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI)	1	1	1	$197.96	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10462PMP	SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI)	1	1	1	$197.96	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10483RMP	SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$387.04	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10495JMP	SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	1	$387.04	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
10497LMP	SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI)	1	1	1	$659.35	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
13709MMP	SOMATROPIN somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (PI, CMI)	1	1	5	$387.04	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
13712QMP	SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI)	1	1	5	$197.96	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
3388HMP	SOMATROPIN somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (PI, CMI)	1	1	1	$659.35	$25.00	$25.00
	Available brands
	Saizen

Source	S100 Growth Hormone Programme
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
5822KMP	SOMATROPIN somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (PI, CMI)	1	1	1	$197.96	$25.00	$25.00
	Available brands
	Saizen