Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
11994GMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	4	$3145.45	$31.60	$31.60
	Available brands
	Fasenra Pen

Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
11995HMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	2	$3145.45	$31.60	$31.60
	Available brands
	Fasenra Pen

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
11996JMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	2	$3194.33	$31.60	$31.60
	Available brands
	Fasenra Pen

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
11997KMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	4	$3194.33	$31.60	$31.60
	Available brands
	Fasenra Pen

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
11999MMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	0	$3194.33	$31.60	$31.60
	Available brands
	Fasenra Pen

Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Note

Authority Required

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
12000NMP	BENRALIZUMAB benralizumab 30 mg/mL injection, 1 mL pen device (PI, CMI)	1	1	0	$3145.45	$31.60	$31.60
	Available brands
	Fasenra Pen