ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR

Source S100 HSD Public
Body System RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS
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
12936WMP ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR
elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (PI, CMI)
1 1 5 $21375.00 $42.50 $42.50
Available brands
Trikafta
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ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR

Source S100 HSD Private
Body System RESPIRATORY SYSTEM > OTHER RESPIRATORY SYSTEM PRODUCTS > OTHER RESPIRATORY SYSTEM PRODUCTS
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
12938YMP ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR
elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (PI, CMI)
1 1 5 $21422.82 $42.50 $42.50
Available brands
Trikafta
space


  • Legend
  • MPMedical Practitioner