Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10533JMP	OCTREOTIDE octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1050.62	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10543XMP	OCTREOTIDE octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$789.16	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10549FMP	OCTREOTIDE octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1098.99	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10550GMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1207.32	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10558QMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1255.69	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
10566DMP	OCTREOTIDE octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$829.09	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Community Access
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
11501HMP	OCTREOTIDE octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$829.09	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Community Access
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
11512XMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1255.69	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Community Access
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
11537FMP	OCTREOTIDE octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1098.99	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES

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
11893YMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1207.32	$31.60	$31.60
	Available brands
	Octreotide Depota
	Sandostatin LARa