SEVELAMER
| Source | S100 HSD Private | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 11838CMP | SEVELAMER sevelamer carbonate 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $339.20 | $31.60 | $31.60 | 
| Available brands | |||||||
| ARX-SEVELAMERa | |||||||
| Sevelamer Lupina | 
SEVELAMER
| Source | S100 HSD Public | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 11855YMP | SEVELAMER sevelamer carbonate 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $317.62 | $31.60 | $31.60 | 
| Available brands | |||||||
| ARX-SEVELAMERa | |||||||
| Sevelamer Lupina | 
SEVELAMER
| Source | General Schedule | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 11856BMPNP | SEVELAMER sevelamer carbonate 800 mg tablet, 180 (PI, CMI) | 1 | 180 | 5 | $188.08 | $31.60 | $31.60 | 
| Available brands | |||||||
| ARX-SEVELAMERa | |||||||
| Sevelamer Lupina | 
SEVELAMER
| Source | General Schedule | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 13934JMPNP | SEVELAMER sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $367.36 | $31.60 | $31.60 | 
| Available brands | |||||||
| Renagela | 
SEVELAMER
| Source | General Schedule | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 14027GMPNP | SEVELAMER sevelamer carbonate 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $367.36 | $31.60 | $31.60 | 
| Available brands | |||||||
| ARX-SEVELAMERa | |||||||
| Sevelamer Lupina | 
SEVELAMER
| Source | General Schedule | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 2142RMPNP | SEVELAMER sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI) | 1 | 180 | 5 | $188.08 | $31.60 | $31.60 | 
| Available brands | |||||||
| Renagela | 
SEVELAMER
| Source | S100 HSD Public | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 9546KMP | SEVELAMER sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $317.62 | $31.60 | $31.60 | 
| Available brands | |||||||
| Renagela | 
SEVELAMER
| Source | S100 HSD Private | 
| Body System | VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS | 
|  | 
|  | 
| 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 | 
|---|---|---|---|---|---|---|---|
| 9620HMP | SEVELAMER sevelamer hydrochloride 800 mg tablet, 180 (PI, CMI) | 2 | 360 | 5 | $339.20 | $31.60 | $31.60 | 
| Available brands | |||||||
| Renagela | 
- Legend
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions




