Source	S100 HSD Private
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
11166QMP	PEGVISOMANT pegvisomant 20 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack (PI, CMI)	4	4	0	$558.85	$31.60	$31.60
	Available brands
	Somavert

Source	S100 HSD Public
Body System	SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

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
11177GMP	PEGVISOMANT pegvisomant 20 mg injection [1 vial] (&) inert substance diluent [1 syringe], 1 pack (PI, CMI)	4	4	0	$529.32	$31.60	$31.60
	Available brands
	Somavert