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

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
11318QMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	2	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
11319RMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	3	6	0	$2977.05	$31.60	$31.60
	Available brands
	Cimzia

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

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
11320TMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	5	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
11321WMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	2	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
11322XMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	3	6	0	$2977.05	$31.60	$31.60
	Available brands
	Cimzia

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

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
11323YMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	3	6	0	$2977.05	$31.60	$31.60
	Available brands
	Cimzia

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

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
11324BMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	5	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
11325CMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	5	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
11326DMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	2	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
12013GMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	0	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
12027BMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	3	6	0	$2977.05	$31.60	$31.60
	Available brands
	Cimzia

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

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
12028CMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	5	$1012.68	$31.60	$31.60
	Available brands
	Cimzia

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

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
13701DMP	CERTOLIZUMAB PEGOL certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (PI, CMI)	1	2	5	$1012.68	$31.60	$31.60
	Available brands
	Cimzia