Source	S100 IVF
Body System	GENITO URINARY SYSTEM AND SEX HORMONES > SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM > GONADOTROPINS AND OTHER OVULATION STIMULANTS

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
12800QMP	FOLLITROPIN ALFA follitropin alfa 450 units (33 microgram)/0.75 mL injection, 0.75 mL cartridge (PI, CMI)	2	2	0	$278.52	$31.60	$31.60
	Available brands
	Ovaleapa