Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSTIMULANTS > IMMUNOSTIMULANTS

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
13110BMP	GLATIRAMER ACETATE glatiramer acetate 40 mg/mL injection, 12 x 1 mL pen devices (PI, CMI)
	Available brands
	Copaxonea * Additional charge for this brand is $7.99B	1	12	5	$676.09	$31.60	$39.59