Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

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
11364DMPNP	DULAGLUTIDE dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (PI, CMI)	1	4	5	$134.60	$31.60	$31.60
	Available brands
	Trulicity

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > DRUGS USED IN DIABETES > BLOOD GLUCOSE LOWERING DRUGS, EXCL. INSULINS

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
14150RMPNP	DULAGLUTIDE dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (PI, CMI)	1	4	5	$134.60	$31.60	$31.60
	Available brands
	Trulicity