Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

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
5480KMPMWNP	VALACICLOVIR valaciclovir 500 mg tablet, 30 (PI, CMI)	1	30	5	$26.69	$28.17	$31.60
	Available brands
	APX-Valaciclovira
	Shilova 500a
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir RBXa
	Valaciclovir SZa
	Valaciclovir Sandoza
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	30	5	$29.12	$28.17	$34.03

Source	S100 HSD Private
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Authority Required (STREAMLINED)

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
6280MMP	VALACICLOVIR valaciclovir 500 mg tablet, 100 (PI, CMI)	5	500	2	$216.88	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	Valaciclovir RBXa
	Valtrexa * Additional charge for this brand is $14.05B	5	500	2	$230.93	$31.60	$45.65

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

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
8064KMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 42 (PI, CMI)	1	42	0	$31.85	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir RBXa
	Valaciclovir Sandoza
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	42	0	$34.28	$31.60	$34.03

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

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
8133CMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 10 (PI, CMI)	2	20	0	$22.40	$23.88	$27.33
	Available brands
	APX-Valaciclovira
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir Sandoza
	Zelitrexa
	Valtrexa * Additional charge for this brand is $5.40B	2	20	0	$27.80	$23.88	$32.73

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Note

Authority Required (STREAMLINED)

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
8134DMPNP	VALACICLOVIR valaciclovir 500 mg tablet, 30 (PI, CMI)	1	30	5	$26.69	$28.17	$31.60
	Available brands
	APX-Valaciclovira
	Shilova 500a
	VALACICLOVIR-WGRa
	Vaclovira
	Valaciclovir RBXa
	Valaciclovir SZa
	Valaciclovir Sandoza
	Zelitrexa
	Valtrexa * Additional charge for this brand is $2.43B	1	30	5	$29.12	$28.17	$34.03

Source	S100 HSD Public
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIVIRALS FOR SYSTEMIC USE > DIRECT ACTING ANTIVIRALS

Authority Required (STREAMLINED)

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
9568NMP	VALACICLOVIR valaciclovir 500 mg tablet, 100 (PI, CMI)	5	500	2	$200.00	$31.60	$31.60
	Available brands
	APX-Valaciclovira
	Valaciclovir RBXa
	Valtrexa * Additional charge for this brand is $13.50B	5	500	2	$213.50	$31.60	$45.10