LANREOTIDE
| Source | S100 HSD Community Access | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11289EMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2630.40 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Community Access | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11315MMP | LANREOTIDE lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $1748.34 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Community Access | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11316NMP | LANREOTIDE lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2310.62 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Public | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11513YMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2581.52 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Private | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11527QMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2630.40 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Community Access | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 11736QMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2630.40 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Public | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 5777CMP | LANREOTIDE lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $1699.46 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Public | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 5778DMP | LANREOTIDE lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2261.74 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Public | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 5779EMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2581.52 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Private | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 6423CMP | LANREOTIDE lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $1748.34 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Private | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 6424DMP | LANREOTIDE lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2310.62 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
LANREOTIDE
| Source | S100 HSD Private | 
| Body System | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS > PITUITARY AND HYPOTHALAMIC HORMONES AND ANALOGUES > HYPOTHALAMIC HORMONES | 
| 
                        
                         | 
                  
| 
                        
                         | 
                  
| 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 | 
|---|---|---|---|---|---|---|---|
| 6425EMP | LANREOTIDE lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)  | 
                  2 | 2 | 5 | $2630.40 | $31.60 | $31.60 | 
| Available brands | |||||||
| Mytolaca | |||||||
| Somatuline Autogela | 
- Legend
 - aBrand equivalent a
 - MPMedical Practitioner
 




