FOLINIC ACID

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
1610RMP FOLINIC ACID
folinic acid 50 mg/5 mL injection, 10 x 5 mL ampoules (PI, CMI)
1 10 2 $53.85 $41.30 $41.30
Available brands
Leucovorin Calcium (Pfizer Australia Pty Ltd)
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FOLINIC ACID

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
1704QMP FOLINIC ACID
folinic acid 100 mg/10 mL injection, 10 x 10 mL ampoules (PI, CMI)
1 10 1 $59.11 $41.30 $41.30
Available brands
Leucovorin Calcium (Pfizer Australia Pty Ltd)
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FOLINIC ACID

Source Section 100 (CT)
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
1899YMP FOLINIC ACID
folinic acid 50 mg/5 mL injection, 10 x 5 mL ampoules (PI, CMI)
1 10 2 $38.90 $40.19 $40.19
Available brands
Leucovorin Calcium (Pfizer Australia Pty Ltd)
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FOLINIC ACID

Source Section 100 (CT)
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
1904FMP FOLINIC ACID
folinic acid 100 mg/10 mL injection, 10 x 10 mL ampoules (PI, CMI)
1 10 1 $43.80 $41.30 $41.30
Available brands
Leucovorin Calcium (Pfizer Australia Pty Ltd)
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FOLINIC ACID

Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
2308LMP FOLINIC ACID
folinic acid 15 mg tablet, 10 (PI, CMI)
1 10 0 $93.74 $41.30 $41.30
Available brands
Leucovorin Calcium (Hospira Pty Limited)
space
Source Section 100 (CT)
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
5870YMP FOLINIC ACID
folinic acid 300 mg/30 mL injection, 30 mL vial (PI, CMI)
4 4 1 $42.12 $41.30 $41.30
Available brands
Leucovorin Calcium (Hospira Pty Limited) SO
Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
Supply only
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Source Section 100 (CT)
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
5890BMP FOLINIC ACID
folinic acid 50 mg/5 mL injection, 5 mL vial (PI, CMI)
1 10 2 $38.90 $40.19 $40.19
Available brands
Leucovorin Calcium (Hospira Pty Limited) SO
Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
Supply onlya
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FOLINIC ACID

Source Section 100 (CT)
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
5904RMP FOLINIC ACID
folinic acid 15 mg tablet, 10 (PI, CMI)
1 10 0 $76.00 $41.30 $41.30
Available brands
Leucovorin Calcium (Hospira Pty Limited)
space
Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
8740BMP FOLINIC ACID
folinic acid 50 mg/5 mL injection, 5 mL vial (PI, CMI)
1 10 2 $53.84 $41.30 $41.30
Available brands
Leucovorin Calcium (Hospira Pty Limited) SO
Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
Supply onlya
space
Source General Schedule
Body System VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS
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
9041WMP FOLINIC ACID
folinic acid 300 mg/30 mL injection, 30 mL vial (PI, CMI)
4 4 1 $57.30 $41.30 $41.30
Available brands
Leucovorin Calcium (Hospira Pty Limited) SO
Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
Supply only
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  • Legend
  • aBrand equivalent a
  • MPMedical Practitioner
  • SO
    Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.
    Supply Only