Source	S100 HSD Public
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS

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
13313QMP	AVATROMBOPAG avatrombopag 20 mg tablet, 30 (PI, CMI)	1	30	5	$2601.06	$31.60	$31.60
	Available brands
	Doptelet

Source	S100 HSD Private
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTIHEMORRHAGICS > VITAMIN K AND OTHER HEMOSTATICS

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
13317XMP	AVATROMBOPAG avatrombopag 20 mg tablet, 30 (PI, CMI)	1	30	5	$2649.43	$31.60	$31.60
	Available brands
	Doptelet