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

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
15134MMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	4	$201042.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15135NMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	2	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15136PMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	5	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15150JMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	5	$201042.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15151KMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	5	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15157RMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	2	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15158TMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	5	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15163CMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	4	$201042.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15164DMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	5	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15165EMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	5	$201042.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15166FMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	2	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15167GMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	4	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15174PMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	5	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15181BMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	2	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15182CMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	2	$201042.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15183DMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	2	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15184EMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	4	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15185FMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	4	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15186GMP	ODEVIXIBAT Odevixibat 400 microgram capsule, 30 (PI, CMI)	6	180	2	$67122.90	$25.00	$25.00
	Available brands
	Bylvay

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

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
15192NMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	4	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15193PMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	4	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15194QMP	ODEVIXIBAT Odevixibat 600 microgram capsule, 30 (PI, CMI)	12	360	4	$201042.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15195RMP	ODEVIXIBAT Odevixibat 200 microgram capsule, 30 (PI, CMI)	12	360	5	$67122.96	$25.00	$25.00
	Available brands
	Bylvay

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

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
15196TMP	ODEVIXIBAT Odevixibat 1.2 mg capsule, 30 (PI, CMI)	6	180	2	$201042.90	$25.00	$25.00
	Available brands
	Bylvay