Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13027PMP	LAROTRECTINIB larotrectinib 25 mg capsule, 56 (PI, CMI)	1	56	5	$3255.88	$31.60	$31.60
	Available brands
	Vitrakvi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13029RMP	LAROTRECTINIB larotrectinib 25 mg capsule, 56 (PI, CMI)	1	56	2	$3255.88	$31.60	$31.60
	Available brands
	Vitrakvi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13031WMP	LAROTRECTINIB larotrectinib 100 mg capsule, 56 (PI, CMI)	1	56	2	$12537.13	$31.60	$31.60
	Available brands
	Vitrakvi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13043LMP	LAROTRECTINIB larotrectinib 100 mg capsule, 56 (PI, CMI)	1	56	5	$12537.13	$31.60	$31.60
	Available brands
	Vitrakvi

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13281BMP	LAROTRECTINIB larotrectinib 20 mg/mL oral liquid, 2 x 50 mL (PI, CMI)	1	1	2	$4287.13	$31.60	$31.60
	Available brands
	VITRAKVI

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
13289KMP	LAROTRECTINIB larotrectinib 20 mg/mL oral liquid, 2 x 50 mL (PI, CMI)	1	1	5	$4287.13	$31.60	$31.60
	Available brands
	VITRAKVI