Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10322GMPNP	CRIZOTINIB crizotinib 250 mg capsule, 60 (PI, CMI)	1	60	3	$6,596.23	$25.00	$25.00
	Available brands
	Xalkori

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
10323HMPNP	CRIZOTINIB crizotinib 200 mg capsule, 60 (PI, CMI)	1	60	3	$6,596.23	$25.00	$25.00
	Available brands
	Xalkori

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11589YMPNP	CRIZOTINIB crizotinib 200 mg capsule, 60 (PI, CMI)	1	60	3	$6,596.23	$25.00	$25.00
	Available brands
	Xalkori

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
11594FMPNP	CRIZOTINIB crizotinib 250 mg capsule, 60 (PI, CMI)	1	60	3	$6,596.23	$25.00	$25.00
	Available brands
	Xalkori

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
12092KMP	ENTRECTINIB entrectinib 200 mg capsule, 90 (PI, CMI)	1	90	3	$6,934.82	$25.00	$25.00
	Available brands
	Rozlytrek

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
15280FMP	REPOTRECTINIB repotrectinib 40 mg capsule, 120 (PI, CMI)	1	120	3	$7,691.21	$25.00	$25.00
	Available brands
	Augtyro

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > PROTEIN KINASE INHIBITORS

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
15288PMP	REPOTRECTINIB repotrectinib 160 mg capsule, 60 (PI, CMI)	1	60	3	$9,662.93	$25.00	$25.00
	Available brands
	Augtyro