Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Caution

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
12663LMPOP	CICLOSPORIN ciclosporin 0.1% eye drops, 30 x 0.3 mL ampoules (PI, CMI)	1	1	5	$83.68	$25.00	$25.00
	Available brands
	Ikervis

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Caution

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
13284EMPOP	CICLOSPORIN ciclosporin 0.09% eye drops, 60 x 0.25 mL ampoules (PI, CMI)	1	1	5	$83.68	$25.00	$25.00
	Available brands
	Cequa

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
13883QMPNP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	4	120	3	$108.60	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 25a

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
13910DMPNP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	4	120	3	$215.92	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 50a

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
13911EMPNP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	4	120	3	$430.80	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 100a

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
13999TMPNP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	4	240	3	$176.80	$25.00	$25.00
	Available brands
	Neoral 10

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
14001XMPNP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	4	4	3	$1,391.96	$25.00	$25.00
	Available brands
	Neoral

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
8657PMPNP	CICLOSPORIN ciclosporin 10 mg capsule, 60 (PI, CMI)	2	120	3	$93.80	$25.00	$25.00
	Available brands
	Neoral 10

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
8658QMPNP	CICLOSPORIN ciclosporin 25 mg capsule, 30 (PI, CMI)	2	60	3	$61.20	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 25a

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
8659RMPNP	CICLOSPORIN ciclosporin 50 mg capsule, 30 (PI, CMI)	2	60	3	$112.44	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 50a

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
8660TMPNP	CICLOSPORIN ciclosporin 100 mg capsule, 30 (PI, CMI)	2	60	3	$219.80	$25.00	$25.00
	Available brands
	APO-Ciclosporina
	CICLOSPORIN-WGRa
	Neoral 100a

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
8661WMPNP	CICLOSPORIN ciclosporin 100 mg/mL oral liquid, 50 mL (PI, CMI)	2	2	3	$700.38	$25.00	$25.00
	Available brands
	Neoral