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	$627.96	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
11036WMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$661.75	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$1296.30	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
11042EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1039.10	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
11055WMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$1344.97	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$990.80	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
11063GMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$864.24	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$822.66	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
11964QMP	LENALIDOMIDE lenalidomide 15 mg capsule, 28 (PI, CMI)	1	28	2	$1321.06	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
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
11965RMP	LENALIDOMIDE lenalidomide 15 mg capsule, 28 (PI, CMI)	1	28	2	$1369.73	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
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
11966TMP	LENALIDOMIDE lenalidomide 5 mg capsule, 28 (PI, CMI)	1	28	2	$879.44	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	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
11967WMP	LENALIDOMIDE lenalidomide 5 mg capsule, 28 (PI, CMI)	1	28	2	$837.28	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	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
11968XMP	LENALIDOMIDE lenalidomide 10 mg capsule, 28 (PI, CMI)	1	28	2	$1096.88	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
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
11969YMP	LENALIDOMIDE lenalidomide 10 mg capsule, 28 (PI, CMI)	1	28	2	$1145.55	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
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
2796EMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	3	$864.24	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
2798GMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$661.75	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
2799HMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$627.96	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
2802LMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	3	$822.66	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
5783JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$627.96	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
5784KMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$822.66	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
5785LMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$990.80	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
5786MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$1296.30	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
9642LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$661.75	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
9643MMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$864.24	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
9644NMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$1039.10	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid

Source	S100 HSD Private
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
9645PMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$1344.97	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid