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	$1099.50	$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	$1256.20	$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	$829.60	$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	$829.60	$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	$1256.20	$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	$1099.50	$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

Source	S100 HSD Private
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
11894BMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1256.20	$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

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
11896DMP	OCTREOTIDE octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (PI, CMI)	2	2	5	$1256.20	$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

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
14177EMP	OCTREOTIDE octreotide 100 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$697.20	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

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
14178FMP	OCTREOTIDE octreotide 50 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$656.10	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

Source	S100 HSD Private
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
14201KMP	OCTREOTIDE octreotide 500 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$1919.22	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

Source	S100 HSD Private
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
14213CMP	OCTREOTIDE octreotide 50 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$691.26	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

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
14218HMP	OCTREOTIDE octreotide 500 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$1870.38	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

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
14219JMP	OCTREOTIDE octreotide 100 microgram/mL injection, 5 x 1 mL vials (PI, CMI)	18	90	11	$661.86	$31.60	$31.60
	Available brands
	Octreotide Acetate Omega (Canada)a

Source	S100 HSD Private
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
6227RMP	OCTREOTIDE octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$203.28	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.05a

Source	S100 HSD Private
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
6228TMP	OCTREOTIDE octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$397.14	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.1a

Source	S100 HSD Private
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
6229WMP	OCTREOTIDE octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$1919.22	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.5a

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
9508KMP	OCTREOTIDE octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$186.84	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.05a

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
9509LMP	OCTREOTIDE octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$373.32	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.1a

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
9510MMP	OCTREOTIDE octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (PI, CMI)	18	90	11	$1870.38	$31.60	$31.60
	Available brands
	Octreotide (SUN)a
	Octreotide GHa
	Sandostatin 0.5a