ADALIMUMAB

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
12338JMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 2 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12359LMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 2 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12361NMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12364RMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 3 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12378LMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 3 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12379MMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 0 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12380NMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
3 6 0 $2616.78 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12382QMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
3 6 0 $2616.78 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12391EMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

Source S100 HSD Private
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
12396KMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 0 $859.02 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12397LMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 2 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12398MMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12399NMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12400PMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 3 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12405XMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12410EMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12413HMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12421RMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 4 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12422TMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12430FMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 5 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

Source S100 HSD Public
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
12431GMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 0 $818.54 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12442WMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 3 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12451HMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
1 2 2 $885.44 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12453KMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
3 6 0 $2616.78 $41.30 $41.30
Available brands
Humiraa
space

ADALIMUMAB

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
12455MMP ADALIMUMAB
adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (PI, CMI)
3 6 0 $2616.78 $41.30 $41.30
Available brands
Humiraa
space


  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner