Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11029LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$1015.29	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11041DMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$2095.88	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11062FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11064HMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$1330.08	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12026YMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	3	$1601.94	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12034JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$1015.29	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12036LMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	1	$2095.88	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12039PMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	1	$1015.29	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12057NMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	1	$1330.08	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
12059QMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	3	$2095.88	$31.60	$31.60
	Available brands
	Cipla Lenalidomide
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Lenalidomide-Teva
	Revlimid