Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10614PMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	2	112	0	$4,675.44	$25.00	$25.00
	Available brands
	Jakavi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10616RMPNP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	2	112	5	$4,675.44	$25.00	$25.00
	Available brands
	Jakavi

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13238RMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	5	$2,256.25	$25.00	$25.00
	Available brands
	Jakavi

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13239TMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	0	$2,305.13	$25.00	$25.00
	Available brands
	Jakavi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13241XMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	5	$2,392.11	$25.00	$25.00
	Available brands
	Jakavi

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13243BMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	0	$2,256.25	$25.00	$25.00
	Available brands
	Jakavi

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13244CMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	5	$2,305.13	$25.00	$25.00
	Available brands
	Jakavi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
14990YMP	RUXOLITINIB ruxolitinib 5 mg tablet, 56 (PI, CMI)	1	56	5	$2,392.11	$25.00	$25.00
	Available brands
	Jakavi