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
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