Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11907QMP	TACROLIMUS tacrolimus 3 mg modified release capsule, 50 (PI, CMI)	2	100	3	$658.20	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11914CMP	TACROLIMUS tacrolimus 3 mg modified release capsule, 50 (PI, CMI)	1	50	2	$380.33	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
11920JMP	TACROLIMUS tacrolimus 3 mg modified release capsule, 50 (PI, CMI)	2	100	3	$693.40	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Restricted Benefit

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
13907YMP	TACROLIMUS tacrolimus 500 microgram modified release capsule, 30 (PI, CMI)	2	60	3	$94.48	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Restricted Benefit

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
13962WMP	TACROLIMUS tacrolimus 1 mg modified release capsule, 60 (PI, CMI)	2	120	3	$148.30	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Restricted Benefit

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
13996PMP	TACROLIMUS tacrolimus 3 mg modified release capsule, 50 (PI, CMI)	2	100	2	$751.88	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Restricted Benefit

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
14039XMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	2	60	3	$853.60	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5299XMP	TACROLIMUS tacrolimus 500 microgram modified release capsule, 30 (PI, CMI)	1	30	3	$54.13	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5300YMP	TACROLIMUS tacrolimus 1 mg modified release capsule, 60 (PI, CMI)	1	60	3	$80.22	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

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
5451XMP	TACROLIMUS tacrolimus 5 mg modified release capsule, 30 (PI, CMI)	1	30	3	$431.19	$31.60	$31.60
	Available brands
	ADVAGRAF XLa
	Tacrolimus XR Sandoza