Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > BILE AND LIVER THERAPY > BILE THERAPY

Caution

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
15084XMPNP	ELAFIBRANOR Elafibranor 80 mg tablet, 30 (PI, CMI)	1	30	5	$5885.13	$31.60	$31.60
	Available brands
	Iqirvo

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > BILE AND LIVER THERAPY > BILE THERAPY

Caution

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
15089EMPNP	ELAFIBRANOR Elafibranor 80 mg tablet, 30 (PI, CMI)	1	30	5	$5885.13	$31.60	$31.60
	Available brands
	Iqirvo

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > BILE AND LIVER THERAPY > BILE THERAPY

Caution

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
15107DMP	ELAFIBRANOR Elafibranor 80 mg tablet, 30 (PI, CMI)	1	30	5	$5885.13	$31.60	$31.60
	Available brands
	Iqirvo