Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Note

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
11037XMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	1	4	5	$627.87	$31.60	$31.60
	Available brands
	Pegasysa

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Note

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
11416WMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	1	4	5	$543.37	$31.60	$31.60
	Available brands
	Pegasysa

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Note

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
14992CMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	1	4	5	$1359.72	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

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

Caution

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
14993DMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$2464.92	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

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
15015GMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$2408.02	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

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

Caution

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
15025TMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$2359.14	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

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
15036JMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$2513.80	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Note

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
15045WMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	1	4	5	$1304.19	$31.60	$31.60
	Available brands
	Pegasys (Ireland)a

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

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
6439XMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$993.78	$31.60	$31.60
	Available brands
	Pegasysa

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

Caution

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
6449KMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$1145.60	$31.60	$31.60
	Available brands
	Pegasysa

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

Caution

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
9515TMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$947.02	$31.60	$31.60
	Available brands
	Pegasysa

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

Caution

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
9516WMPNP	PEGINTERFERON ALFA-2A peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (PI, CMI)	2	8	5	$1096.72	$31.60	$31.60
	Available brands
	Pegasysa