Source	S100 HSD Public
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12154QMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.08	1	5	$208.94	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Public
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12156TMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.17	2	6	$417.88	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Private
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12162DMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.17	2	6	$442.97	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Private
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12173QMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.08	1	5	$225.67	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Private
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12839RMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.17	2	0	$442.97	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Public
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12854MMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	0.17	2	0	$417.88	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Private
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12855NMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	1	12	1	$2555.65	$31.60	$31.60
	Available brands
	Uvadex

Source	S100 HSD Public
Body System	DERMATOLOGICALS > ANTIPSORIATICS > ANTIPSORIATICS FOR SYSTEMIC USE

Caution

Note

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
12876QMP	METHOXSALEN methoxsalen 200 microgram/10 mL injection, 12 x 10 mL vials (PI, CMI)	1	12	1	$2507.28	$31.60	$31.60
	Available brands
	Uvadex