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
10386PMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$2351.02	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
10387QMP	POMALIDOMIDE pomalidomide 4 mg capsule, 21 (PI, CMI)	1	21	0	$2302.14	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
10406QMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$1726.61	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
10417GMP	POMALIDOMIDE pomalidomide 3 mg capsule, 21 (PI, CMI)	1	21	0	$1775.49	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
11029LMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
11036WMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	0	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
11041DMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	0	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
11964QMP	LENALIDOMIDE lenalidomide 15 mg capsule, 28 (PI, CMI)	1	28	2	$965.26	$31.60	$31.60
	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
11965RMP	LENALIDOMIDE lenalidomide 15 mg capsule, 28 (PI, CMI)	1	28	2	$1012.75	$31.60	$31.60
	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
11966TMP	LENALIDOMIDE lenalidomide 5 mg capsule, 28 (PI, CMI)	1	28	2	$645.11	$31.60	$31.60
	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
11967WMP	LENALIDOMIDE lenalidomide 5 mg capsule, 28 (PI, CMI)	1	28	2	$611.76	$31.60	$31.60
	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
11968XMP	LENALIDOMIDE lenalidomide 10 mg capsule, 28 (PI, CMI)	1	28	2	$801.44	$31.60	$31.60
	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
11969YMP	LENALIDOMIDE lenalidomide 10 mg capsule, 28 (PI, CMI)	1	28	2	$842.38	$31.60	$31.60
	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
12004TMP	LENALIDOMIDE lenalidomide 10 mg capsule, 14 (PI, CMI)	1	14	3	$425.63	$31.60	$31.60
	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
12011EMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	1	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12012FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 14 (PI, CMI)	1	14	3	$482.63	$31.60	$31.60
	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
12018MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 14 (PI, CMI)	1	14	3	$665.58	$31.60	$31.60
	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
12019NMP	LENALIDOMIDE lenalidomide 25 mg capsule, 14 (PI, CMI)	1	14	3	$631.44	$31.60	$31.60
	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
12020PMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	3	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12026YMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	3	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12034JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12035KMP	LENALIDOMIDE lenalidomide 5 mg capsule, 14 (PI, CMI)	1	14	3	$305.88	$31.60	$31.60
	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
12036LMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	1	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12037MMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	1	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12038NMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	1	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12039PMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	1	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12050FMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	1	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12057NMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	1	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12058PMP	LENALIDOMIDE lenalidomide 5 mg capsule, 14 (PI, CMI)	1	14	3	$327.00	$31.60	$31.60
	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
12059QMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	3	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12060RMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	3	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12061TMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	3	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12062WMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	1	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12068EMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	3	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12069FMP	LENALIDOMIDE lenalidomide 15 mg capsule, 14 (PI, CMI)	1	14	3	$510.82	$31.60	$31.60
	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
12070GMP	LENALIDOMIDE lenalidomide 10 mg capsule, 14 (PI, CMI)	1	14	3	$400.72	$31.60	$31.60
	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
12071HMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	3	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12661JMP	POMALIDOMIDE pomalidomide 4 mg capsule, 14 (PI, CMI)	1	14	2	$1583.64	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
12665NMP	POMALIDOMIDE pomalidomide 4 mg capsule, 14 (PI, CMI)	1	14	2	$1534.76	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
12666PMP	POMALIDOMIDE pomalidomide 3 mg capsule, 14 (PI, CMI)	1	14	2	$1151.07	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
12668RMP	POMALIDOMIDE pomalidomide 3 mg capsule, 14 (PI, CMI)	1	14	2	$1199.95	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomalyst
	Pomolide

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
12979DMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12980EMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12984JMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12985KMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12986LMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12988NMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12991RMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
12993WMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13630JMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$947.16	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13636QMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$458.82	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13641YMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$723.95	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13642BMP	LENALIDOMIDE lenalidomide 5 mg capsule, 21 (PI, CMI)	1	21	2	$486.05	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13657TMP	LENALIDOMIDE lenalidomide 15 mg capsule, 21 (PI, CMI)	1	21	2	$761.79	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13658WMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$634.00	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13660YMP	LENALIDOMIDE lenalidomide 25 mg capsule, 21 (PI, CMI)	1	21	2	$993.93	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13661BMP	LENALIDOMIDE lenalidomide 10 mg capsule, 21 (PI, CMI)	1	21	2	$601.08	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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
13788QMP	POMALIDOMIDE pomalidomide 2 mg capsule, 21 (PI, CMI)	1	21	0	$1151.07	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide

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
13794BMP	POMALIDOMIDE pomalidomide 1 mg capsule, 14 (PI, CMI)	1	14	2	$430.49	$31.60	$31.60
	Available brands
	Pomolide

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
13803LMP	POMALIDOMIDE pomalidomide 1 mg capsule, 21 (PI, CMI)	1	21	0	$645.74	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide

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
13811XMP	POMALIDOMIDE pomalidomide 2 mg capsule, 21 (PI, CMI)	1	21	0	$1199.95	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide

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
13812YMP	POMALIDOMIDE pomalidomide 2 mg capsule, 14 (PI, CMI)	1	14	2	$806.96	$31.60	$31.60
	Available brands
	Pomolide

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
13813BMP	POMALIDOMIDE pomalidomide 1 mg capsule, 14 (PI, CMI)	1	14	2	$456.59	$31.60	$31.60
	Available brands
	Pomolide

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
13814CMP	POMALIDOMIDE pomalidomide 1 mg capsule, 21 (PI, CMI)	1	21	0	$680.45	$31.60	$31.60
	Available brands
	Pomalidomide Sandoz
	Pomolide

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
13815DMP	POMALIDOMIDE pomalidomide 2 mg capsule, 14 (PI, CMI)	1	14	2	$767.38	$31.60	$31.60
	Available brands
	Pomolide

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
14582LMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$796.93	$31.60	$31.60
	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
14583MMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$796.93	$31.60	$31.60
	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
14588TMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	0	$757.74	$31.60	$31.60
	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
14592BMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	3	$757.74	$31.60	$31.60
	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
14608WMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$757.74	$31.60	$31.60
	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
14609XMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	1	$796.93	$31.60	$31.60
	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	$31.60	$31.60
	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
14615FMP	LENALIDOMIDE lenalidomide 20 mg capsule, 14 (PI, CMI)	1	14	3	$534.25	$31.60	$31.60
	Available brands
	Lenalide

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
14616GMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	2	$757.74	$31.60	$31.60
	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
14623PMP	LENALIDOMIDE lenalidomide 20 mg capsule, 14 (PI, CMI)	1	14	3	$505.16	$31.60	$31.60
	Available brands
	Lenalide

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	$31.60	$31.60
	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
14631CMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	3	$796.93	$31.60	$31.60
	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	$31.60	$31.60
	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
14633EMP	LENALIDOMIDE lenalidomide 20 mg capsule, 21 (PI, CMI)	1	21	1	$757.74	$31.60	$31.60
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	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	$31.60	$31.60
	Available brands
	Lenalide
	Lenalidomide Dr.Reddy's
	Lenalidomide Sandoz
	Lenalidomide Viatris
	Revlimid