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
11437YMP	BARICITINIB baricitinib 2 mg tablet, 28 (PI, CMI)	1	28	3	$1046.34	$31.60	$31.60
	Available brands
	Olumiant

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
11442FMP	BARICITINIB baricitinib 2 mg tablet, 28 (PI, CMI)	1	28	5	$1046.34	$31.60	$31.60
	Available brands
	Olumiant

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
11443GMP	BARICITINIB baricitinib 4 mg tablet, 28 (PI, CMI)	1	28	5	$1046.34	$31.60	$31.60
	Available brands
	Olumiant

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
11447LMP	BARICITINIB baricitinib 4 mg tablet, 28 (PI, CMI)	1	28	3	$1046.34	$31.60	$31.60
	Available brands
	Olumiant

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
13689LMP	BARICITINIB baricitinib 2 mg tablet, 28 (PI, CMI)	1	28	5	$1046.34	$31.60	$31.60
	Available brands
	Olumiant

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
13702EMP	BARICITINIB baricitinib 4 mg tablet, 28 (PI, CMI)	1	28	5	$1046.34	$31.60	$31.60
	Available brands
	Olumiant