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	$396.54	$25.00	$25.00
	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
11042EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$620.55	$25.00	$25.00
	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
11055WMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$809.15	$25.00	$25.00
	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
11063GMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$516.74	$25.00	$25.00
	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	$824.43	$25.00	$25.00
	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	$525.76	$25.00	$25.00
	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	$686.02	$25.00	$25.00
	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
12004TMP	LENALIDOMIDE lenalidomide 10 mg capsule, 14 (PI, CMI)	1	14	3	$347.45	$25.00	$25.00
	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
12011EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	1	$620.55	$25.00	$25.00
	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
12018MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 14 (PI, CMI)	1	14	3	$542.39	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid