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
11603QMPNP	CLADRIBINE cladribine 10 mg tablet, 1 (PI, CMI)	1	1	1	$1,243.40	$25.00	$25.00
	Available brands
	CLADRITABa
	Mavenclada

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
11604RMPNP	CLADRIBINE cladribine 10 mg tablet, 4 (PI, CMI)	2	8	1	$9,136.38	$25.00	$25.00
	Available brands
	CLADRITABa
	Mavenclada

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
11611DMPNP	CLADRIBINE cladribine 10 mg tablet, 6 (PI, CMI)	1	6	1	$6,893.01	$25.00	$25.00
	Available brands
	CLADRITABa
	Mavenclada