Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11041DMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$947.16	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11042EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$761.79	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11055WMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$993.93	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11062FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$723.95	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11063GMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$634.00	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
11064HMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$601.08	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14588TMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$757.74	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14610YMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$796.93	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14624QMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$796.93	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
14632DMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$757.74	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15067BMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$601.08	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15073HMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$761.79	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15078NMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$723.95	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15079PMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$634.00	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15095LMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$757.74	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15096MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$993.93	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15103XMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$486.05	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15104YMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$947.16	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15105BMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$796.93	$25.00	$25.00
	Available brands
	Lenalidea
	Lenalidomide Sandoza

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
15106CMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$458.82	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
5783JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$458.82	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
5784KMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$601.08	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
5785LMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$723.95	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
5786MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$947.16	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
9642LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$486.05	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
9643MMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	0	$634.00	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
9644NMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	0	$761.79	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

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
9645PMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$993.93	$25.00	$25.00
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Revlimid