Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14885KMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	7	$418.14	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Public
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
14895YMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	2	$418.14	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14906MMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	5	$418.14	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14912WMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	0	$443.75	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Public
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
14913XMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	5	$418.14	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Private
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
14930TMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	5	$443.75	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Private
Body System	DERMATOLOGICALS > OTHER DERMATOLOGICAL PREPARATIONS > OTHER DERMATOLOGICAL PREPARATIONS

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
14940HMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	2	$443.75	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14951XMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	5	$443.75	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Public
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14952YMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	0	$418.14	$31.60	$31.60
	Available brands
	Xolair

Source	S100 HSD Private
Body System	RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

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
14953BMP	OMALIZUMAB omalizumab 300 mg/2 mL injection, 2 mL pen device (PI, CMI)	1	1	7	$443.75	$31.60	$31.60
	Available brands
	Xolair