Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11724CMP	DEFERIPRONE deferiprone 1 g tablet, 50 (PI, CMI)	6	300	5	$2,360.28	$25.00	$25.00
	Available brands
	Ferriprox

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
11747GMP	DEFERIPRONE deferiprone 1 g tablet, 50 (PI, CMI)	6	300	5	$2,311.38	$25.00	$25.00
	Available brands
	Ferriprox

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5657RMP	DEFERIPRONE deferiprone 500 mg tablet, 100 (PI, CMI)	3	300	5	$1,155.69	$25.00	$25.00
	Available brands
	Ferriprox

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
5658TMP	DEFERIPRONE deferiprone 100 mg/mL oral liquid, 250 mL (PI, CMI)	5	5	5	$963.10	$25.00	$25.00
	Available brands
	Ferriprox

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
6416QMP	DEFERIPRONE deferiprone 500 mg tablet, 100 (PI, CMI)	3	300	5	$1,204.56	$25.00	$25.00
	Available brands
	Ferriprox

Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

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
9638GMP	DEFERIPRONE deferiprone 100 mg/mL oral liquid, 250 mL (PI, CMI)	5	5	5	$1,010.48	$25.00	$25.00
	Available brands
	Ferriprox