Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > OTHER HEMATOLOGICAL AGENTS > OTHER HEMATOLOGICAL AGENTS

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
15295BMP	GARADACIMAB garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (PI, CMI)	1	1	4	$30,148.49	$25.00	$25.00
	Available brands
	Andembry

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > OTHER HEMATOLOGICAL AGENTS > OTHER HEMATOLOGICAL AGENTS

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
15305MMP	GARADACIMAB garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (PI, CMI)	1	1	5	$30,148.49	$25.00	$25.00
	Available brands
	Andembry

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > OTHER HEMATOLOGICAL AGENTS > OTHER HEMATOLOGICAL AGENTS

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
15317EMP	GARADACIMAB garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (PI, CMI)	2	2	0	$60,188.20	$25.00	$25.00
	Available brands
	Andembry

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > OTHER HEMATOLOGICAL AGENTS > OTHER HEMATOLOGICAL AGENTS

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
15332YMP	GARADACIMAB garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (PI, CMI)	1	1	5	$30,148.49	$25.00	$25.00
	Available brands
	Andembry