SIPONIMOD

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
12158XMP SIPONIMOD
siponimod 2 mg tablet, 28 (PI, CMI)
1 28 5 $2219.57 $42.50 $42.50
Available brands
Mayzent
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SIPONIMOD

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
12160BMP SIPONIMOD
siponimod 250 microgram tablet, 120 (PI, CMI)
1 120 5 $2219.58 $42.50 $42.50
Available brands
Mayzent
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SIPONIMOD

Source General Schedule
Body System ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS
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
12172PMP SIPONIMOD
siponimod 250 microgram tablet, 12 (PI, CMI)
1 12 0 $239.52 $42.50 $42.50
Available brands
Mayzent
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  • Legend
  • MPMedical Practitioner