Source	S100 IVF
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ENDOCRINE THERAPY > HORMONES AND RELATED AGENTS

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
10907CMP	TRIPTORELIN triptorelin acetate 100 microgram/mL injection, 7 x 1 mL syringes (PI, CMI)	4	28	0	$147.69	$31.60	$31.60
	Available brands
	Decapeptyl